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2. First Name
3. Last Name
5. Email Address
6. Phone
8. How would you prefer to be contacted?
   -- Select One --EmailPhone
10. Date/Time of Incident
    Date/Time of Incident

    Date/Time of Incident
12. Responding Towing Service
13. Tow Bill
15. Billing Receipts
17. Did you express a verbal preference for the towing company that responded?
    -- Select One --YesNo
19. If you answered yes, please submit your complaint to the Virginia Department of Criminal Justice Services.
    VDCJS Complaint Form
21. Concern/Complaint:
23. Your complaint will be sent to the Christiansburg Police Department to be reviewed by the Captain of Support Services. You will receive a reply within 5 business days after your submission.
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field