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Code Violation Report Form

  1. Concordia Police Department Shoulder Patch

  2. Report a Code Violation

  3. Fields with a red asterisk are required to complete this form. Your name and phone number are required in order to provide feedback and will only be used by city employees in the performance of their official duties. Anonymous submissions will NOT be investigated.

  4. What is the violation?*

  5. Leave This Blank:

  6. This field is not part of the form submission.