Roxana, IL · Madison County
Suspected Nuisance House Survey
This survey lets people report suspected nuisance-house activity to the Roxana Police Department by describing the property, activity patterns, visitors, and other observations.
What this form is
Use this survey to report a suspected nuisance house to the Roxana Police Department; the document does not state when submission is required. It asks for the property's address and description, suspected activity times and locations, visitor information, security details, suspected residents, vehicles, and trash practices. Additional information may be written on the back or on a separate piece of paper.
Who needs it
People reporting suspected nuisance-house activity can use the survey to share observations about a property with the Roxana Police Department.
How to submit it
Return the completed survey to Roxana Police Department, 400 South Central Ave., Roxana, IL 62084. The form lists 618-254-2228 as the department phone number.
About notarization
This survey is completed without a notary; it mentions no sworn or notarized attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Survey
Download the Suspected Nuisance House Survey PDF.
- 2
Complete The Survey
Fill in the property details and your observations about suspected activity, visitors, residents, vehicles, and trash.
- 3
Add More Information
If needed, write additional information on the back or on a separate piece of paper.
- 4
Return The Survey
Return it to Roxana Police Department, 400 South Central Ave., Roxana, IL 62084.
Frequently asked questions
- What information does the Suspected Nuisance House Survey request?
- It asks for the property's address and description, suspected activity times and locations, visitor information, security details, suspected residents, vehicles, and trash practices.
- How do I submit the Suspected Nuisance House Survey?
- Return the completed survey to Roxana Police Department, 400 South Central Ave., Roxana, IL 62084. The form lists 618-254-2228 as the department phone number.
- Do I need a notary for the Suspected Nuisance House Survey?
- No. This survey is completed without a notary, and it mentions no sworn or notarized attachment; the signer just signs and dates it.