Needle Report Request

Use this to report needles found on public property. If a clean-up is required, it will be dispatched accordingly. If no clean-up is required, this report will be used for data collection.

Instructions

Describe the issue you wish to report including a photo and/or a description.

Please enable JavaScript in your browser to complete this form.

Layout

Location *

Location of Needle *Select locationAlleyBus / Bus ShelterCity Street / Right of WayMunicipal Parking GarageMunicipal Parking LotParkPump StationTraffic ManholeWaste Receptacle

Approx. How Many Needles? *

Description

Other Drug Items Found? *

• Yes
• No

Is Clean Up Required? *

• Yes
• No

What Type?

• Acidifier
• Alcohol Swabs
• Filters
• Inhalation Equipment
• Lighters
• Pills
• Razor Blades
• Spoon
• Tourniquet
• Vials

Photo

Click or drag files to this area to upload. You can upload up to 3 files.

Reporter

(will not be shared with public)

Name

First

Last

Layout

Email *

Phone

Submit