Skip to Main Content
City Government
Departments
Community
How Do I...
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Administration
Cemetery Forms
CVB
El Dorado, Inc.
Permits & Licenses
Police
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
Citizen Report Form
This form has been modified since it was saved. Please review all fields before submitting.
First Name
Last Name
Phone Number
Email Address
Mailing Address
City
State
Zip
Location of Incident
Date of Incident
Vehicle, Item or Equipment Involved
Description of Incident
“I hereby certify that to the best of my knowledge that the statements made herein are true”
*
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
News Releases
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow
