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2. 
3. Request for Police Services

   To better serve our community, we ask that you utilize this 'online request' system for some of our most requested police service calls, such as 'Dark House checks', special attention requests or long term quality of life issues that need to be addressed. 

   Note: this is not for and never should be used to request emergency or even non-emergent 'same hour' response. 

   For all emergencies, call 911 or 914-665-2500. For 'same hour' responses, call 914-665-2500. 

   If you do not receive a telephone or email response within 4 days, please call us at 914-665-2500.

   You CANNOT use this form to report anything that a report has to generated for. You must call 914-665-2500 in that circumstance.

5. Your Name
6. Your Email Address
8. Your Address
9. City
10. State
12. Your Home Phone Number (leave blank if none)
13. Your Cell Phone Number (leave blank if none)
15. Type of Service Requested*
    -- Select One --'Dark House' CheckQuality of Life ComplaintTraffic ComplaintAbandoned VehicleFuneral Escort Request (to City Limits Only)Other Type of Request (fill in Details below)

    Click One of the types of service. If 'Other', please describe in the 'Additional Information' box below.

16. Date of Request/Service (Start)*
    Date of Request/Service (Start)

    Date of Request/Service (Start)

    Please place the requested date of service (if pertinent) or today's date if this is a chronic condition.

17. Date of Request/Service (End)
    Date of Request/Service (End)

    Date of Request/Service (End)

    Please only complete this if the request has an end date, otherwise leave blank.

19. Location of Service*
20. Cross Street (if not at an address)

    Leave blank if the location of service is an exact address

22. Emergency Contact (If Pertinent)

    Please place the name and phone number of an emergency contact here, if pertinent

23. Vehicle/Quality of Life Description

    Please place a description of what needs to be addressed, if pertinent. Color and type of vehicle is helpful. 

25. Additional Information

    Please place the additional information needed to respond to your request here.

27. Media Upload

    If photos or other pertinent media is available, please upload it here.

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field