2. Have a question for the Blaine Police Department?
   Fill out this form and your question may be featured in the next Community Relations video.
4. All questions are welcome. Please let us know what is on your mind we are here to listen, learn, and engage.*
5. 
9. Contact Information (Optional)
   At times we might want to follow up with you to continue the conversation. Please fill in any contact information you are comfortable providing.
11. Name
12. Email Address
14. Address
16. City
17. State
18. Zip Code
20. Phone Number
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field