Skip to Main Content
Do Not Show Again
How Do I...
Select a Category
Emergency Medical Services
Human Development & Services
Mayor President Office
Mayor's Office of Homeland Security & Emergency Preparedness
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Baton Rouge Police Department
9000 Airline Highway
Baton Rouge, Louisiana 70815
Emergencies dail 911
Non emergencies (225)389-2000
1. Are you a resident of Baton Rouge, Louisiana?
2. Have you had contact with Baton Rouge Police Department within the last year?
3. Under what circumstance did you have contact with the Baton Rouge Police Department?
4. Was the Officer able to address your concerns in a manner that was satisfactory?
5. While in contact with the Officer, do you feel that you were treated respectfully?
6. Do you feel that officer's response times are sufficient?
7. Please select three (3) issues you feel are the greatest problems with your community
8. What improvements or changes would you like to see implemented with the Baton Rouge Police Department?
9. Do you feel safe in your neighborhood/home?
10. What is your gender?(optional)
11. What is your age? (optional)
18 to 24
25 to 34
34 to 44
45 to 54
55 to 64
64 to 75
72 or older
12. What is your overall rating of the Baton Rouge Police Department?
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Red Stick Ready
Slideshow Left Arrow
Slideshow Right Arrow