Form Center

Search Forms:

Search Forms Select a Category

All Categories
Board of Elections
Board of Supervisors
County Administrator
CP - Training
District Attorney
Economic Development
Emergency Management Office

Feedback
Geographic Information Services
Human Resources
Information Technology
Offices for the Aging - Volunteer
Planning
Public Defender
Public Health

Public Works
Record & Archives
Sheriff
Stop DWI
Test Forms
Treasurer Office
Victims Assistance
Workforce Development

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Cell Phone Violation Report

Sign in to Save Progress

This form has been modified since it was saved. Please review all fields before submitting.

Steps

1. Cell Phone Violation This section is complete This section is incomplete
2. Date, Time, and Location. This section is complete This section is incomplete

Cell Phone Violation

Your name:*
Your address:*
City, state, and zip:*
Your telephone number:*
License plate number of the offender:*
Please include state of license plate if it is other than NY
Gender of driver*
If known
1. Male
2. Female
3. Unkown
Continue