Form Center

2. Littering Complaint
   Please complete the following form to report littering activity you have witnessed. The Roanoke County Police Department will contact you to verify the details of the complaint.
4. If the vehicle listed in the complaint below can be confirmed, Roanoke County Police Department will send notice to the vehicle's owner that the offense was witnessed and request their compliance with Roanoke County's litter ordinance in the future. Only verified complaints will be processed.
6. Your Name*
8. Daytime Phone*
10. Your Address
12. Street Number*
13. Street Name*
14. Street Type*
15. Apt #
17. City*
18. State*
19. Zip*
21. Details of the Littering Incident
23. Date and Time of Littering*
    Date and Time of Littering

    Date and Time of Littering
25. Litter Type*
    -- Select One --Cigarette buttCup/can/bottleFast Food TrashOther Trash
26. Litterer*
    -- Select One --DriverPassengerBlown From VehicleOther
28. Location/Address of Littering*
30. City
31. State
32. Zip
34. License Plate Number*
35. License Plate State*
37. Vehicle Color*
38. Vehicle Manufacture*
39. Vehicle Model
41. Additional Information
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field