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2. Name*
3. Phone #*
5. Address*
7. Email Address*
8. Years at residence*
12. DETAILS OF YOUR REQUEST
14. What is the issue that you believe the West Chester Police Department should examine?*

    1. Speeding
    2. Stop Sign
    3. Truck Traffic
    4. Excess Volume
    5. Request Flashing Speed Sign
16. Other
18. Location of the issue*
20. Time / Day of the issue*
22. Has this issue been studied by the West Chester Police Department before?*

    1. Yes

    1. No
24. Please provide a brief overview of this traffic request?*
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

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