COMMUNITY ROADS SAFETY REPORT

For our PUBLIC Roads

Community Roads Safety Watch is your chance to help reduce irresponsible drivers' repetitive speeding and reckless driving in the future.

Once the required information is filled in below do one of the following:

• Mail report to the Hawaii Police Department 349 Kapiolani St. Hilo, HI 96720
• Drop it off at the Hawaii Police Department 349 Kapiolani St. Hilo, HI 96720
• Call in the report to Traffic Services: 961-2226
• Fax report to Traffic Services: 961-2228

MAHALO FOR YOUR CONTRIBUTION

TO THE SAFETY OF OUR PUBLIC ROADS

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DO NOT FILL THIS OUT WHILE DRIVING!!

*Date of Event:	* Time of Event:
*Vehicle License #:	Violator: Male: Female
Make:Color:
*Location of Violation:
*Description of Violation:
Reporter name: (optional)	Phone:(optional)

* Required information