New Ipswich Police Department Online Complaint Form


Please include as much information as you can in the form below. Incomplete or inaccurate information will delay processing of this report and may compromise our ability to quickly and effectively respond to this complaint.

Indicates that this field is required and must be completed for the form to be processed.


Please tell us where the problem activity is:
The address must be entered correctly for the report to be processed . Incorrect, misspelled or incomplete data will return a negative response and cannot be processed.

  If the activity occurs inside a business, please tell us the name of the property.
Property Name :



Only enter the numerical address number in this space.
Street Number: Required Field
 
  Enter only the street name here. For example: enter "Turnpike" (without the quotes) if you live on Turnpike Road. DO NOT enter the street type.
Street Name :
 

Select the street type from the list provided. If the street type isn't on the list, please e-mail the Website Administrator at
900 @ nipd . net so the form can be updated.
Street Type: Required Field

  If the activity occurs inside a business, please tell us the name of the property.
Apartment Number :

 

Please check the appropriate box If the violation location meets one these conditions. 		 
Violation Proximity: next door to an elderly resident
next door to a handicapped resident
near a school or place of worship
near a playground or recreation center

 
   

Please select where the activity occurs at this location:
Select the location that applies to the violation you are reporting.

 


Required Field Identify the activity location for this violation - select only one 		 
Inside Business
Inside Private Residence
Driveway
Hallway - Corridor
Park—Wooded Area
Sidewalk—Street Corner
Vacant Lot
Vehicle
Garage
Other
If "Other" Please Identify:
 
 
Please tell us about the activity:
Complete the areas below to acquaint us with the type of activity you are reporting, its history and when it occurs.

 
 

Select the nature that best describes the problem you are reporting. You will have a chance to elaborate elsewhere on the form. 		 
Activity Nature: Required Field

 
  If the activity was not on the list,
please tell us what it is in this field. 		 
If "Other," Identify:


Days when activity
is present?:

Required Field Monday Friday
  Tuesday Saturday
  Wednesday Sunday
  Thursday All Week
      Don't Know

 
 

Tell us the times when the activity is most pronounced. Select all that apply. DO NOT EXAGGERATE. 		 


Time when activity
is present?:

Required Field 12 AM — 2 AM 2 PM — 4 PM
  2 AM — 4 AM 4 PM — 6 PM
  4 AM — 6 AM 6 PM — 8 PM
  6 AM — 8 AM 8 PM — 10 PM
  8 AM — 10 AM 10 PM — 12 AM
  10 AM — 12 Noon Infrequently
  12 Noon — 2 PM 24 Hrs a Day
      Don't Know
 
 

Use this space to tell us about the activity. Explain as much as possible about the situation you are reporting. This is the area where you tell us everything you know. You can't tell us too much.

 
Describe the Activity: Required Field

 
     


Please tell us about any vehicles used by the participants:

Use this area to tell us about any vehicles used by the participants of this activity. For example, cars or other vehicles that are speeding, etc. If there is more than one vehicle used, submit this form and then hit your browser's "BACK" button. The original report will be displayed again so you can re-submit it with a different vehicle description. The info you submitted previously will still be on the form so you won't have to re-type it, you will only have to change the vehicle information.

 
  Select the type of auto from the list below.  
Vehicle Type:

 
 

An approximate model year is fine if you know it. If the car is a newer model, say that. If it's a beat-up old wreck, tell us that. 		 
Vehicle Year:  

  For example: Ford, Toyota, Chevrolet, Honda, Cadillac.  
Vehicle Manufacturer:  
 

For example: Camaro, Cutlass, Camry, Grand Am. 		 
Vehicle Model Name:  

  Vehicle Color  
Vehicle Color :  
 

Enter the license plate state in this box. If you don't know, tell us what color the license plate is. 		 
License Plate State:  

  Enter it here, even if you only know part of it.  
License Number:  
 

Describe any of the vehicle's unique features auch as: damaged parts, accessories, sun roof, mismatched paint, etc. The idea is to give us a unique description of the car so that we will be able to recognize it. 		 
Unique Features:  
     
Please tell us about yourself:
This area is completely optional. You do not have to provide this information to us. It will only be used if we need to contact you for additional information and will be kept strictly confidential.


Your Name:



Your Street Address:
(no P.O. Boxes)



Apartment Number:



City & State:



Zip Code:



Daytime Phone:



May we call you to gather more information?

Yes No


Your E-mail:



Additional Comments:

 
When you click "Submit" the information you provided will automatically be routed to the police department.




Important Disclaimer:
Communications made through this electronic mail and message system shall in no way be deemed to constitute legal notice to the Town of New Ipswich, the New Ipswich Police Department or any of its agencies, officers, employees, agents, or representatives, with respect to any existing or potential claim or cause of action against the Town or any of its agencies, officers, employees, agents, or representatives, where notice to the town is required by any federal, state or local laws, rules or regulations.





This site is the property of the New Ipswich, NH Police Department. If you have any comments or suggestions, or would like to use some of the designs for your site, please contact the Secretary by e-mail