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Compliment Form
This Compliment form is to be utilized for reporting a positive interaction with an employee(s) of the Canby Police Department.
Incident Location Information
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Incident Location
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Please provide date and time information for which the incident occurred.
Beginning Timeframe
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Ending Timeframe
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Incident Narrative
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Incident Narrative
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Reporting Person Information
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First Name
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Middle Name
Last Name
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Date of Birth
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Racial/Ethnic Identity
Asian
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White or Caucasian
Another
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Gender/Gender Identity
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Phone Number
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Email Address
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Confirm Email Address
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Home Address
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Zip Code
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Driver's License Number
Driver's License State
If you are reporting on behalf of someone else, please click Add Additional below and include the victim's information.
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Filing a false police report is a crime (ORS 162.375). Please review your information above.
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1175 NW 3rd Ave
Canby, OR 97013
Phone: (503) 266-1104
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