2. Note: This form is NOT to report criminal behavior or activities. Please contact the Lancaster Police Department, (740) 687-6680, for such complaints.
4. Complainant First Name*
5. Complainant Last Name*
7. Complainant Address*
9. City
10. State
11. Zip
13. Phone Number*
15. Complainant Email*
17. Offender / Owner First Name
18. Offender / Owner Last Name
20. Offender / Owner Address
22. City
23. State
24. Zip
26. Location of Complaint
28. Nature of Complaint*
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field