Form Center

1. Step One (current) This section is complete This section is incomplete
2. Problem Information This section is complete This section is incomplete
3. Credible Information Regarding Suspects This section is complete This section is incomplete

Step One

If you have a life threatening emergency or need to report a crime in progress, please call 911.

If you need to file a crime report, please refer to the information in the reports section of the police web pages for information on filing your report. Please do not attempt to use this worksheet to file a crime report.

Use the police citizen concern worksheet below to notify the police of the following problems: reoccurring/suspicious activities, crime series, safety hazards, suspected drug activity, problems with juveniles, transient problems, traffic problems, or other non-criminal activity.

Please provide as much information as you can. The more complete the information, the better we are able to serve you.
Please note: this form does not qualify as a crime report.
First Name
Last Name
Address
City
State
Zip
Phone Number
Email Address
If the problem involves your business or place of work, please complete the business information.
Business Name
Business Street Address
Address Line 2
City
State
Zip
Business Phone Number
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Problem Type
Problem Location
Location or address.
Primary Hours*
Primary Days of Problem
1. Weekends
2. Weekdays
3. Monday
4. Tuesday
5. Wednesday
6. Thursday
7. Friday
8. Saturday
9. Sunday
Details of Concern
Please be as detailed as possible in describing your concern.
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Suspect's First Name
Suspect's Last Name
Suspect's Street Address
City
Suspect's Phone Number
Suspect's Vehicle Information
Suspect's Description
Suspect 2 First Name
Suspect 2 Last Name
Suspect 2 Address
City
Suspect 2 Phone Number
Suspect 2 Vehicle Information
Suspect 2 Description
You have completed the Citizen Concern Worksheet. If you have no suspect information please feel free to submit your concern. Your submission will be routed to the Citrus Heights Police Department for review and appropriate action will be taken. Thank you.

If you would like us to contact you about this problem, please indicate so below.
Contact Me (?)*

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