Road Watch - Online Citizen Report Form Fields marked with * are mandatory. "Road Watch" is a community road safety program sponsored by local businesses and agencies in cooperation with the Durham Regional Police Service and the Ontario Provincial Police. Time of Incident * 20162015201420132012 JanuaryFeburaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 AMPM Location of Incident * Ajax/Pickering Clarington Oshawa Township of Brock Township of Scugog Township of Uxbridge Whitby At street name(s) * Vehicle Information Vehicle Involved * Car Mini Van Pick-Up Truck SUV Truck Other(Specify in "What Happened" textbox) Plate# Province:* Vehicle Year Vehicle Color Make Model Description of Driver Sex Male Female Age What Happened* Incident Reported By This area MUST be completed. Road Watch will not disclose your personal information. Your email address will be used as your "signature" when submitting this form electronically. Surname* First Name* Address* Email* City/Town* Postal Code* Phone#* Business# Security Code * Please input the security code for verification.