2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Phone
12. Email
14. Fax
16. What type of comment would you like to send?*

    1. Complaint
    2. Problem
    3. Suggestion
    4. Praise
    5. Request Information
    6. Request Meeting
18. Enter your comments:*
20. Preferred method of contact:*

    1. Phone
    2. Email
    3. Fax
    4. Postal mail
    5. I do not wish to be contacted
21. Do you wish to remain anonymous?*

    1. Yes
    2. No

23. Police Chief

    
    

    39 Alfred Street

    Biddeford, ME 04005

    
    

    Phone: 207-282-5127

    Fax: 207-282-9879

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field