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2. Traffic & Safety Complaint Form
4. Traffic Violations & Driving Behavior (Check All That Apply)

   1. Speeding
   2. Running Stop Signs / Ignoring Stop Lines
   3. Wrong Way Driving
   4. Dangerous Intersections
   5. Difficulty Turning Onto Main Roads
   6. Improper Bicycle Behavior
   7. Improper / Illegal Parking Issues
6. Physical and/or Design Constraints

   1. Unsafe Street Crossings
   2. Lack of Sidewalks / Poor Sidewalk Conditions
   3. Walk Signals / Foot Traffic Concerns
   4. Ability to Safely Bicycle on a Street
   5. Inadequate Street Lighting
   6. Concerns About 1-Way Streets
8. Please leave a brief description of the above selected issues you are reporting.*

   500 characters maximum.

10. Please leave a way for us to contact you.*
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14. 1. Receive an email copy of this form.
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