Click here to return to the E-Government Services start page
 
Welcome to the City of Papillion, NE, Mayor's Hotline
Today is Thursday, March 30, 2017.
WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.
Illegal Drug and/or Alcohol Activity

Purpose. This form is used to report information regarding illegal drug and/or alcohol activity. ***IF OCCURRING NOW, CALL 911.***

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone: (
Fax: (
Address:
City:
State:
ZIP:

Issue/Problem Location:

* Address
   
- Or Other Not Listed -

Invalid Address

The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue.

The address you entered
 
Unit: 
  Provide any additional information on problem location in the box below.

* Preferred Method of Response:
Email
U. S. Mail
Telephone
Fax
No Response Required
 
What type of activity are you reporting?
Drug dealing
Drug use
Alcohol use
 
Where have you witnessed this activity?
Street
Alley
Home
Car
Business
 
What is the location of where the activity is taking place (nearest address if an exact location is not provided above, intersection or cross-street, landmarks, etc.)?
 
How often is the drug or alcohol activity taking place?
 
During what time does this occur most often?
Morning
Afternoon
Evening
Other
5
 
If Other, please explain:
 
Who is involved?
Adults
Juveniles
Both Adults and Juveniles
Unknown
 
What gender are they?
Male
Female
Both Male and Female
Unknown
 
How many people are involved?
 
If you have a description of the people involved, please provide it in the space below.
 
Check here to have email confirmation of this submission.

* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

City Home | E-Gov Home | Mayor's Hotline | Community Calendar | RSS Feeds
Refund Policy | Login | Register | Privacy Policy
Copyright ©2004-2017. Electronic Commerce Link, Inc. dba egovlink.