If you've had a problem in a taxi, or if you've lost something, you can use this form to record or lodge a complaint or problem.

We will contact you via telephone or e-mail within 10 business days. During the week, between 8:30 - 4:00, you can contact the Hackney Unit directly at 617 343 4475 for further inquiry.

Section 1 - Everyone must fill out this section.

Date of Incident: Time: Your Name/Contact Person: E-mail: Telephone: Address: Location of Incident: Taxi Number: Taxi Company:

Section 2 - Only fill in this section if you want to report an incident or have a complaint.

Nature of Incident:

If the incident requires further investigation would you be willing to appear at a brief schedueld hearing on this matter? Please type yes or no.

Section 3 - Only fill in this section if you are reporting lost property.

Description of Property: