Village of Maple Bluff
18 Oxford Place
Madison, WI 53704

E-mail

Police Department Forms
Vacation Watch Form
Incident/Complaint Form
Contested Parking Ticket Form

Fill out the desired form and click the Submit Form button.
We will contact you within 5 business days.

Vacation Check/Notificaton Request Form

Your Name:

Email Address:

Street Address:

Date Leaving:

Month/Day/Year 00/00/00

Date Returning:

Month/Day/Year 00/00/00

Telephone Number:

Emergency Contact Information

Name:

Telephone:

Alternate Telephone:

Keys Left With

Name:

Telephone:

Alternate Telephone:

Person Watching House

Name:

Telephone:

Alternate Telephone:

Alarm:

  Yes
  No

Lights on Timers

  Yes
  No

Will there be anyone in the home?

  Yes
  No
If yes, how many persons:

Additional Comments:

 

 

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Incident Notificaton/Complaint Form

Your Name:

Your Email:

Your Street Address:

Your Telephone:

Nature of Incident/Complaint

Location of Incident:

Address of Incident:

Date of Incident:

Month/Day/Year 00/00/00

Time of Incident:

Be sure to put in AM or PM

Witness Names:

Suspect
Description(s):

Were Juveniles
Involved?

  Yes
  No
If Yes, how many?

Were Vehicles
Involved?

  Yes
  No
If Yes, how many?

Vehicle
Description(s):

License Number(s)
Even partial numbers:

Do you wish to be kept informed as we investigate this incident?

  Yes
  No
Your Email Address:

 

 

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Contested Parking Ticket Form

.

Your Name:

Email:

Street Address

City

State 2 Letters

Zip

Telephone:

Make & Model of Vehicle:

Make Model
Year License#
State 2 Letters

Location of Violation:

Nature of Violation
Check any and all that apply

 Parking Prohibited
 Parking Where Posted

 30 Minute Limitation
 Handicap Parking
 Other

Date Issued:
Time Issued:

Officer’s Name:

Amount Due: $

Date Due: mm/dd/yy

Reason for Request

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