Physical address of graffiti:

Closest cross streets:

Is this your property? Yes No

Brief Description:
   

Is it racial or hate in tone? Yes No

Surface:
     Painted Stucco
     Painted Wood
     Brick
     Unpainted Block
     Painted Block
     Other

Type of Property:
     Commercial
     Residential
     Public

Your Name: (optional)

Your Phone Number: (optional)

Your Email: (optional)