Online Neighborhood Safety Campaign Request Form

(required)

(required)

(required)

(required)

(required)

503 555-1212

503 555-1212

(enter if you don't find your neighborhood in the list above)

Name of the primary street.

Name of the intersection cross street.

Primary Street name.

Cross street at one end.

Cross street at the other end.

(required)

Please provide contact names and phone numbers for the Neighborhood Association

Please provide contact names and phone numbers for the school PTA/PTC

Please provide contact names and phone numbers for the neighborhood watch

Request a Safety Campaign

Lawn sign request

Radar Trailer request

 
Submit form  

Note:  The Safety Campaign includes radar equipment and lawn signs, however you may request the radar trailer and/or the lawn signs only and not participate in the complete safety campaign as described in the newsletter.  Please note that if you choose this option your street will not be eligible for further traffic consideration. (For example: speed cushions, traffic circles, curb extensions, etc.)

If you have questions regarding the form, contact us at (503)-846-7950 or by E-mail.