City of New Westminster
		                         TRAFFIC COMPLAINT

Com; _______________________   Phone; Hm___________Wk______________
Address;  _______________________   City;  _____________________________

Date and time com. received;  _____________________________
Date and time of event;  __________________________________
Nature of complaint;______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
 


Location of Event; ___________________________________________________

Suspect Vehicle; (if applicable)  Lic; _______________   Prov. _____

Desc. Of veh(s);  Make; _____________  Color; ________  Model; ____________ 

# of occupants in vehicle; _______    Dist. Marks; __________________________

Was a police file assigned?   Y    N        (if yes)  File #  __________________
                                                     Member ___________________

Complaint taken by;  ________________________

Please forward all completed forms to Traffic Section, c/o NWPS 511 Royal Ave

Fax- Traffic Section -517-2401   
E-mail - dtottenh@city.new-westminster.bc.ca