Abandoned Vehicle Report Form

2. Please read the following paragraphs:

   The information I've provided on this form is correct to the best of my knowledge. I understand that providing false information could make me subject to fine, imprisonment, or both under State of Illinois Law.

   Complaints filed via this website are processed and may be referred to other law enforcement/regulatory agencies for possible investigation. Any investigation opened on complaints filed on this website is opened at the discretion of the Peoria Police department.

4. Advisory:

   You are about to file a complaint with the Peoria Police Department. The confidentiality of the information you provide may be affected depending on state law. As such, we cannot guarantee that your complaint will remain confidential. Submitting the form indicates that you understand these statements.

6. Please tell us about the vehicle:

   As many details as you may provide will be helpful.

8. Location
10. Street Number*
11. Street Direction*
    -- Select One --NorthNortheastEastSoutheastSouthSouthwestWestNorthwest
13. Street Name*
14. Peoria, IL Zip Code*
    -- Select One --6160161602616036160461605616066161461615
16. Vehicle Information
18. Vehicle Make*

    (The brand. For instance, Chrysler, Force, Hyundai)

19. Vehicle Model*

    (For example: Eldorado, Camaro, Cutlass)

21. Vehicle Color*
22. Year
24. License Plate Number
25. License Plate State
27. Choose at least one of the following options:

    1. It appears drivable but is not licensed
    2. It has no wheels on it
    3. It is on blocks or jack stands
    4. It is junk and rusty
    5. It is packed with other goods
    6. Other
28. Other / More details
30. Please Provide the Following Contact Information:
32. Name
33. Title
35. Organization
37. Street Address
39. City
40. State / Province
41. Zip / Postal Code
43. Phone Number
44. Fax Number
46. Email Address
47. Best time to be contacted
49. Important Disclaimer:

    Communications made through this electronic mail and message system shall in no way be deemed to constitute legal notice to the City of Peoria, IL , the Peoria Police Department or any of its agencies, officers, employees, agents, or representatives, with respect to any existing or potential claim or cause of action against the City or any of its agencies, officers, employees, agents, or representatives, where notice to the city is required by any federal, state or local laws, rules or regulations.

Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field