• First Name
• Last name
• Email
• Telephone
• How can we reach you?
  By telephone By email Do not contact me

Description of the problem

• What you have witnessed
• Start date
• End date
• Start time
• End time
• Location
• Frequency

Description of the vehicle

• Can you describe the vehicle?
  Yes No
• Licence plate
• Vehicle colour
• Brand
• Model
• Type (van, 4X4, sports car)

Description of the driver

• Can you describe the driver?
  Yes No
• Approximate age
• Gender
  Male Female
• Hair colour
• Skin colour
• Glasses
  Yes No
• Build
  Thin Medium Overweight
• Other characteristics
• Would you be able to recognize the driver?
  Yes No

• Neighbourhood police station
  Aéroport international Pierre-Elliott-Trudeau de Montréal Ahuntsic Anjou Baie-D'Urfé Beaconsfield Bordeaux Cartierville Centre-Sud Centre-ville Côte-des-Neiges Côte-Saint-Luc Dollard-Des Ormeaux Dorval Hampstead Hochelaga-Maisonneuve Île Notre-Dame Île-des-Sœurs Kirkland La Petite-Italie La Petite-Patrie Lachine LaSalle L'Île-Bizard L'Île-Dorval Mercier Métro de Montréal Montréal-Nord Montréal-Ouest Mont-Royal Notre-Dame-de-Grâce Outremont Parc du Mont-Royal Parc-Extension Petite-Bourgogne Pierrefonds Plateau-Mont-Royal Pointe-aux-Trembles Pointe-Claire Pointe-Saint-Charles Rivière-des-Prairies Rosemont Roxboro Sainte-Anne-de-Bellevue Sainte-Geneviève Saint-Henri Saint-Léonard Saint-Michel Saint-Paul Saint-Pierre Senneville Verdun Vieux-Montréal Ville de Montréal-Est Ville Saint-Laurent Nord Ville-Émard Ville-Marie Ouest Villeray Westmount

• 
  

  I hereby certify that all of the information contained in this observation report are, to the best of my knowledge, accurate and complete and have been observed by me personally. I understand that making a false statement is a public mischief under section 140 of the Criminal Code, which could lead to serious legal consequences.

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