Driving Complaint

This form is to be used for non-emergency situations only

If this is an emergency, please call 911 immediately.

For all other complaints relating to traffic issues, please complete the following form at which time the Winnipeg Police Service will receive notification of the issue.

All information filled out must be correct and accurate in order to process a complaint

*required fields

School Name*

Date*

Test

Time*

Location*

Where did the incident take place (ie. address/cross street)? Please include as much information as possible.

Number of Patrols*

Witness information.

First Name

Last Name

Address

Birth Date

Test

Phone Number

Email Address

Adult

Teacher

Reporting person.

First Name*

Last Name*

Address*

Birth Date*

Test

Phone Number*

Email Address*

Adult*

Teacher*

Description of vehicle.

Licence Plate Number*

Make

Year (Older/Newer)

Colour

Number of Doors

Condition

Is the vehicle clean, dirty, rusted, have tinted windows, damaged?

Other Descriptors

Description of driver.

Gender

Ethnicity

Age

Glasses

Hair

Facial Hair

Other Descriptors

Number of Passengers

Passenger Descriptions

Is this a one time incident?*

With a number of vehicles?*

Has this been an ongoing problem with this vehicle?*

Description of incident.*

Please include as much information as possible. Caution or Charge cannot be laid without details.

Direction of vehicle, were Patrols open/closed, number of students crossing/about to cross, any injuries, etc.

Su	Mo	Tu	We	Th	Fr	Sa

Su	Mo	Tu	We	Th	Fr	Sa

Su	Mo	Tu	We	Th	Fr	Sa