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2. Notice
   Do not use this form to report a crime or an incident. Submitting this form does not constitute a police report. Call our non-emergency dispatch number, (608)270-4300 to make a police report or to speak with a member of our department.
4. Instructions
   **DO NOT USE THIS FORM TO REPORT A CRIME OR AN INCIDENT** If you are unable to find a specific form for your concern or request in the Request Tracker portion of the website use this form to report your concern to the Police Department. If you would like a member of the Department to contact you regarding your issue/concern please provide us with your contact information. You can still remain anonymous for reporting purposes.
6. Concern/Issue/Problem
   Please describe the concern/issue/problem that you would like us to know about.
8. First Name
9. Last Name
11. Address1
13. Address2
15. City
16. State
17. Zip
19. Phone Number
20. E-Mail
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field