Violation
Location & Description
The
address must be entered correctly for
the report to be processed and sent
to the correct district. Incorrect,
misspelled or incomplete data will return
a negative response and cannot be processed.
Select
your district from the pull-down list.
If you do not know your district, view
the district map and find the district
that covers your address.
Patrol
District:
select
from list
1st District
2nd District
3rd District
4th District
5th District
6th District
7th District
8th District
9th District
12th District
14th District
15th District
16th District
17th District
18th District
19th District
22nd District
23rd District
24th District
25th District
26th District
35th District
39th District
92nd District
Center City District
Only
enter the numerical address number in
this space.
Street Number:
Select
the street direction here.
If there is no direction, select "Not
Applicable".
Street Direction:
select
from list
Not Applicable
N
S
E
W
Only
enter the name of the street here.
For example: enter "Roosevelt"
(without the quotes) if you live on
Roosevelt Boulevard. DO NOT enter the
street type.
Street Name:
Select
the street type from the list provided.
If the street type isn't on the list,
please contact
the webmaster so the form can be
updated.
Street Type:
you
must select one
Alley
Avenue
Boulevard
Court
Circle
Drive
Expressway
Highway
Lane
Parkway
Pike
Place
Plaza
Road
Run
Square
Street
Terrace
Trail
Way
Other
city agencies and utility companies
may require this information.
Violation Zip Code:
Please
check the appropriate box If the violation
location meets one these conditions.
Violation
Proximity:
next door to an elderly resident
next door to a handicapped resident
near a school or place of worship
near a playground or recreation center
Please
select the nature of this location:
Select the
criteria that apply to the violation
you are reporting.
Identify the location nature
for this violation is - select only
one
Identify the violation position
- choose all that apply
Please
tell us about the violation:
You will
need to refer to the violation
listing to complete this section.
Note: Clicking on this link to the listing
will open a new window so that you can
refer to it while completing this section.
Please remember to close that window
when you are finished.
Philadelphia Code:
Violation Title:
Tell
us what kind of refuse is being dumped.
Refuse Nature:
Select
From List
Auto Parts
Biological
Waste
Construction
Debris
Garden
Waste
Hazardous
Waste
Household
Trash
Machinery
/ Appliances
Tires
Other-Not Listed
Use
this space to tell us how the violation
occurred. If it happens regularly try
and give us a time range when it happens,
how it happens, how many people are
involved, and so on. Be as detailed
as possible.
Describe
the Violation:
Please
tell us about the violator or property
owner: If
you know the violator's name, current
address or phone number, please provide
it bellow. This information will help
us hold the owner accountable and will
speed up the corrective process. If
you can describe the violator's vehicle,
please provide that information.
If
you know the violator's name
please provide it below.
Violator's Name:
If
you know the violator's name
please provide it below.
Violator's
Phone:
If
you know the violator's address
please provide it below.
Violator's
Address:
If
you know the violator's city, state
& zip
please provide it below.
City-State-Zip:
If
the violator used a car or truck to
commit the violation, note the license
plate and include it here.
Vehicle
License Plate:
Please
describe the violator's appearance or
that of their vehicle. Include colors,
lettering and any other distinguishing
marks.
Offender
Description :
Your
Information
This area
is completely optional. You do not have
to provide this information to us. It
will only be used if we need to contact
you for additional information and will
be kept strictly confidential.
Your
Name:
Your
Street Address:
(no P.O. Boxes)
Apartment
Number:
City
& State:
Zip
Code:
Daytime
Phone:
May
we call you
to gather more information?
Yes
No
Your
E-mail :
Additional
Comments:
When
you click "Submit" the information
you provided will automatically be routed
to the police district or unit you selected
on the form.
Important Disclaimer:
Communications made through this electronic
mail and message system shall in no
way be deemed to constitute legal notice
to the City of Philadelphia, the Philadelphia
Police Department or any of its agencies,
officers, employees, agents, or representatives,
with respect to any existing or potential
claim or cause of action against the
City or any of its agencies, officers,
employees, agents, or representatives,
where notice to the city is required
by any federal, state or local laws,
rules or regulations.