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2. Name of Neighborhood Watch*
3. Coordinator's/Block Captain's Name*
5. Police District*
   -- Select One --12345
6. Report Period*
   -- Select One --January-MarchApril-JuneJuly-SeptemberOctober-December
8. Neighborhood Watch Meeting Held
9. Partners Against Crime (PAC) Meetings Attended
11. Watch Meeting Date*
    Watch Meeting Date
12. # of Residents Attending*
13. Date (PAC)
    Date (PAC)
14. # of Reps Attending
16. Watch Meeting Date
    Watch Meeting Date
17. # of Residents Attending
18. Date (PAC)
    Date (PAC)
19. # of Reps Attending
21. Watch Meeting Date
    Watch Meeting Date
22. # of Residents Attending
23. Date (PAC)
    Date (PAC)
24. # of Reps Attending
26. Comments (include session topics; information sent out; etc.)
27. Comments (include session topics; resources received; etc.)
29. Public Safety and Community Engagement
31. During the quarter…Were there any crime incidents, suspicious activity in your neighborhood watch area? Did you or neighbor utilize 911 services?
    Note: Before submitting electronically, it is important that you print out and retain a copy of completed form for your records. To verify receipt your Neighborhood Watch report, call the Community Resource Unit at (919) 560-4438 extension 29224.
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field