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2. Use this form to report an incident where a solicitor has ignored your “Do Not Knock” decal, and/or has displayed behavior toward you that you believe was threatening, abusive, or overly aggressive.
4. Please provide as much of the following information as possible.
6. First Name*
7. Last Name*
9. House #*
   (Example: 4)
10. Street Name*
    -- Select One --Adams CourtAfton DriveAlcott DriveAllwood TerraceAlpine WayAmelia AvenueAmherst PlaceApple Tree CourtArbor CourtArden RoadArgyle CourtArlington DriveArrow DriveArthur TerraceN. Ashby AvenueS. Ashby AvenueAshwood DriveAspen DriveAudobon RoadAvon AvenueBadger DriveBaker RoadBaldwin TerraceBalmoral DriveN. Baums CountS. Baums CourtBeacon AvenueBeacon PlaceBear Brook CourtBear Brook LaneBeaufort AvenueBel AirBellcourt PlaceBelmont DriveBelvedere DriveBennington RoadBeresford LaneBerkeley PlaceBerkeley RoadBerkeley TerraceBerkshire RoadBeverly RoadBillingsley DriveBinghampton LaneBirch Tree LaneBirchwood DriveBlackstone DriveBonneyview DriveBorden PlaceBoulderwood DriveBowling DriveBoynton DriveBrandon AvenueBrayton RoadBrentwood DriveBreton PlaceBriar Cliff RoadBrighton CourtBristol CourtBroadlawn DriveBroadlawn PlaceBrookside AvenueBrookside PlaceBrown CourtBrowning DriveBryant DriveBunyan DriveBurgandy CourtBurgandy DriveBurlington RoadBurnet StreetBurnet Hill RoadBushkill DriveByron PlaceCambridge Road Camelot DriveCanoe Brook DriveCanterbury RoadCarillon CircleCarlisle DriveCarteret RoadCase TerraceCedar Gate CondosCedar Gate CourtCedar Gate DriveCedar Street CommonsN. Cedar ParkwayS. Cedar ParkwayE. Cedar StreetW. Cedar StreetCedar TerraceCentennial RoadChadwick RoadChampion BoulevardCharles StreetChaucer CourtChelsea DriveCherry Hill RoadChestnut StreetChetwynd TerraceCIT DriveClaremont AvenueCliffside DriveClover LaneCobblewood RoadCoddington TerraceCollins TerraceCollinwood AvenueColonial WayColumbia RoadConcord DriveCongressional ParkwayConsul RoadCornell DriveCornerstone WayCottage TerraceCountry Club CourtCountry Club RoadCountryside DriveCoventry RoadCreighton DriveCrescent RoadCrest TerraceCrestview Hiill RoadCrossbrook PlaceCrossbrook RoadCrown CourtCulver RoadCyprus LaneDana DriveDarby TerraceDartmouth CourtDaven AvenueDawson TerraceDeal LaneDeerfield RoadDellmead DriveDemarest RoadDevonshire RoadDickinson LaneDisney PlaceDogwood TerraceDominion CourtDorothy AvenueDorrien RoadDorsa AvenueDougal AvenueDowning PlaceDriftwood DriveDrummond TerraceEast DriveEastbrook TerraceEdgemere RoadEdmonton CourtEisenhower ParkwayElizabeth AvenueElkin DriveElmwood CourtElmwood DriveEly CourtEmerson DriveEndor WayEsplanade WayEssex CourtEton RoadEvergeen AvenueExecutive ParkwayFairfax DriveFairwaysFalcon CourtFalcon RoadFawn DriveFellswood DriveFernwood RoadFieldstone DriveFilmore AvenueForce Hill RoadFordham PlaceFordham RoadForest StreetFormosa Plastics DriveFoxcroft DriveFranklin AvenueFranklin PlaceFredon DriveFullerton PlaceGable WalkGarnet TerraceGiacomo CourtGlannon RoadGlendale AvenueGoodhart DriveGorham AvenueGrand TerraceGrasmere CourtGraymoor RoadGreenwood CourtGrove TerraceHadrian DriveHamilton LaneHampton TerraceHarding PlaceE. Harrison PlaceW. Harrison PlaceHarvard LaneHarvard PlaceHarvest LaneHastings LaneHavenwood DriveHawthorne DriveHazel AvenueHazelwood AvenueHearthstone TerracHeather LaneHemlock RoadHemshire DriveHepworth StreetHerbert TerraceHeron RoadHickory PlaceHighland DriveHighview DriveHill StreetHillary CourtHillside AvenueN. Hillside AvenueHillside TerraceE. Hobart Gap RoadW. Hobart Gap RoadHobson DriveHomestead TerraceHuntington RoadIndustrial ParkwayIntervale RoadIroquois DriveIrving AvenueJackson DriveJason LaneJefferson CourtJFK Parkway / Rt. 649Kathay DriveKean CourtKearney TerraceKensington LaneKeyes RoadKeystone DriveKimball AvenueKingston DriveKinkead DriveKnollwood DriveKredel AvenueLafayette DriveLangtree DriveLargo LaneLarkspur PlaceLaurel AvenueLee RoadLenape RoadLexington DriveLincoln AvenueN. Livingston AvenueS. Livingston Avenue #28 - #523S. Livingston Avenue #554 - #625Lockhern CourtLockhern DriveLocust PlaceLongacre DriveLongview RoadMacopin Court Macopin DriveMadison CourtMadonna DriveManor RoadMansfield CourtMaple AvenueMaplewood DriveMarberne TerraceMarisa CourtMarlo RoadMartin RoadMayhew DriveMcCall AvenueE. McClellan AvenueW. McClellan AvenueMeadowbrook RoadMellon PlaceMelrose Drive Merian WayMichele LaneMicrolab RoadMidway DriveMillbrook CourtMillstone DriveN. Mitchell AvenueS. Mitchell AvenueMohawk DriveMonmouth CourtMontgomery RoadMorningside DriveMorton RoadMountain Ridge DriveMounthaven DriveE. Mount Pleasant Avenue #2 - #286E. Mount Pleasant Avenue #293 - #390W. Mount Pleasant Avenue #21 - #169W. Mount Pleasant Avenue #176 - #629Mount Pleasant ParkwayMount Vernon ParkwayNaylon AvenueNaylon PlaceNorman CourtNorth DriveNorth Ridge RoadNorthfield CourtE. Northfield Road - EvenE. Northfield Road - OddW. Northfield Road #40 - #228W. Northfield Road #232 - #374Notch Hill RoadNottingham RoadOak StreetOak Tree LaneOakmont CourtOakwood AvenueW. Oakwood AvenueOld Mt. Pleasant AvenueOld RoadOld Short Hills RoadOrchard LaneOskar CourtOverlook RoadOxford DrivePage PlacePalmer DrivePark DriveParsonage Hill RoadPassaic AvenuePebble Beach DrivePenny RoadPenwood RoadPine Valley RoadPitcairn RoadPittsfield CourtPlymouth DrivePointe Gate DrivePost LanePreston DrivePrinceton RoadProspect RoadPutnam RoadRainbow Ridge DriveRale TerraceRedwood RoadRegal BoulevardRelkin RoadRidge DriveRidgewood DriveRiker Hill RoadRockhill DriveRockledge DriveN. Rockledge DriveRoosevelt TerraceRosedale TerraceRosewood CourtRoss RoadRossmore TerraceRoyal AvenueRoute 10Rumson RoadRutgers RoadSalem PlaceSandalwood DriveScarsdale DriveSchindler WayScotland DriveScott TerraceSeymour Schram LaneShadowlawn DriveSheffield CourtSherbrooke ParkwayE. Sherbrooke ParkwaySheridan RoadSherwood CourtShrewsbury Drive #1 - #40Shrewsbury Drive # 41 - EndSidehill CourtSouth Orange AvenueSpalding DriveSparrow DriveSpier DriveSpitrock RoadSpring RoadSpringbrook PlaceSpringbrook RoadSquier CourtSterling DriveStokes TerraceStoneham DriveStonehenge DriveStonewall DriveStony Hill PlaceStratford DriveSunset RoadSunshine LaneSurrey LaneSutton WaySwan RoadSycamore AvenueSycamore TerraceSykes AvenueSylvan CourtSymington AvenueTabor CourtTaconic RoadTaft CourtTamarack RoadTanger DriveTanglewood DriveTarlton DriveTemplar WayTerry TerraceThames DriveThe PointeThurston DriveTiffany DriveTilden CourtTimber Hill DriveTorrance DriveTower RoadTown Center WayTrafalgar DriveTremont TerraceTrinity DriveTrocha AvenueTrombley DriveTroy DriveTudor TerraceTulane DriveTulip CourtTurlington CourtTuscan RoadTuxedo DriveTuxedo DriveTwin Oak RoadValley View CourtVanderbilt DriveVentnor PlaceVere TerraceVillage DriveVine StreetVirginia AvenueVista TerraceVolker LaneWahler RoadWalnut Street #7 - #270Walnut Street #271 - #381Walton Lane Wardell RoadWashington CourtWayside PlaceWellington RoadWest Drive #7 - #40West Drive #50 - #64West Lawn RoadWestgate RoadN. Westgate RoadWestminster DriveWestmount DriveWhite Oak DriveWhite Oak Ridge Road / Rt. 608Whittier WayWildwood AvenueWillow LaneWilshire DriveWilson TerraceWinans RoadWinchester RoadWindermere CourtWindsor DriveWingate DriveWinged Foot DriveWinston DriveWoodcrest DriveWoodland TerraceWychwood RoadWynnewood RoadYale CourtYorktown TerraceZahn Terrace
12. Apartment #
    (if applicable)
14. Contact Preference*

    1. Cell Phone

    1. Landline Phone

    1. Email
16. Cell Phone Number
18. Landline Phone Number
20. Email Address
22. Secondary Contact Method

    1. Cell Phone

    1. Landline Phone

    1. Email

    (Optional)
24. Cell Phone Number
26. Landline Phone Number
28. Email Address
30. Date and Approx. Time of Incident*
    Date and Approx. Time of Incident

    Date and Approx. Time of Incident
32. Business Soliciting*
34. Business Permit Number (if known)
36. Name of Individual Solicitor (if known)
38. Did you call the Police?*

    1. Yes

    1. No
40. If yes, did you make a Police Report?

    1. Yes

    1. No
42. Were there any other witnesses to the incident?*

    1. Yes

    1. No
44. If yes, how many witnesses?
46. Description of/Details about the Incident*
48. Reminders:
    1. Call the Livingston Police Department at 973-992-3000 to report the incident while the solicitor is still at your residence.
50. 2. Dial 9-1-1 if the solicitor is threatening you in any way.
52. The LPD encourages residents to call every time an incident occurs so they can arrive on scene quickly, handle the situation, and issue a summons, if appropriate.
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

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