Good Neighbor Report Form

Problem Address: City: Time of incident: Date of incident: Incident Report to: University Neighborhood Enhancement Team (UNET) Riverside Police Department

Detailed Description of Incident and Specific Concerns: (Please include information such as number of individuals present at the house or apartment, number of cars parked on the street, specific disruptive or problematic behaviors, etc.)

Problem Homeowners or Tennants: (Please provide any information available to you that will help us in verifying whether or not the problem homeowners or tenants are UC Riverside students)

Name(s) of Homeowner or Tennant(s) if known:

Signs or Symbols Observed that may help in identifying a Student Organization: Other Identifiers (e.g. license plate numbers, UCR Parking Permit numbers) Complainant Name, Address, Telephone number and E-Mail Address: (information will not be shared with homeowner or tenants.) Name: Phone: Address: E-Mail: