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Crime Statistics Request Form

Police Home

Use this on-line form to request a grid summary. A reply to your request will come from the following email address: karen.hubbard@cityofmesa.org. If you have a spam blocking program or are restricting email to only people in your address book or pre-approved email addresses, please add this address so our reply will not be considered spam. Please make sure your email address is correct before submitting this form.

Fill out * sections only if you want results mailed to you.

First/Last Name	required
Address	*
City	*
State	*
Zip	*
Daytime phone	enter like 000-000-0000
E-mail	required for request to be emailed to you
Address (used to determine grid only) (you may list up to 4 addresses. Do not list intersections here.)	required
Major cross streets of above location/s	required

The address requested is an apartment complex or condo / townhome property. I would like calls for service for this address only. Verification of address will be done prior to running statistics. We will not run specific addresses for single family residential homes, duplex/triplex or 4-plex units.
I would like the results:
E-mailed to e-mail address above	Mailed to street address above
E-mailed to new e-mail address below	Faxed to number below
E-mail:	Fax No.
Comments:

The police department does not keep any of your personal information. However, upon submittal of this form, it can be considered public record.