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Safety Concerns Form
Please note that this form is not intended to be used for any situation that maybe considered an emergency! Please call the department by phone for any serious problems that are in progress. This form is intended to relieve some of the call volume from the dispatchers so they can focus their attention on the most important calls.

Choose from the following:
Radar Request
Traffic Light Problems
Traffic Concerns
Missing Street Sign
Safety Concerns
Missing Speed Limit Sign
Street Light Outage
Please provide the following information:
Name:
required
Email:
required
Home Address:
required
Phone:
required
Please select from the following:
May we use your driveway when conducting radar?
What time of day is the radar needed?
What is the location of the problem that needs to be addressed?
Any additional comments / information.
Was this form helpful? What else would you like to see on this form?

  Municipal Center 10 Mechanic St., Bellingham, MA 02019