This form is used to report a vehicle parked on a street or public space for more than 24 hours. ***IF IMMEDIATE RESPONSE IS DESIRED, CONTACT 402-339-3196.***

Please do not use this form to report issues of emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please call 911.

Brief Description of Issue*

Location

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Other Location Information (if address not known):

Photograph:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Your Information

Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Zip Code:*

Phone Number:*

Email Address:*