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Catch A Truck Violation Reporting Form

This form is available to report truck activity on roads that have been deemed unfit for truck traffic. These roads include those in certain residential zones (La Luna, Santa Ana, etc.), Route 33 in front of Nordhoff High School from 7:00am to 9:00am, etc. Please answer as many questions as possible and attach any pictures (or illustrative sketches) with descriptions. Please fill out one form per truck and type or print clearly.

VIOLATION OF TRUCK TRAVEL ROUTE REPORT
Provided by the Stop the Trucks Coalition of Ojai

Send completed forms to: Stop the Trucks, c/o Ojai Chamber of Commerce; PO Box 1134, Ojai, CA 93024

COMPLAINANT INFORMATION


Name: Phone Number:


Address:

Email:


INCIDENT INFORMATION

Date of incident: Approximate Time:


Location of violation:


Direction truck was travelling:


Description of violating truck:


Color of cab: Make:

License plate number: State:

Size: Attached Bin Single trailer Double trailer Other:_______


Did the truck appear to be speeding? Yes No Unable to tell


Incident Description (additional information about what you saw)