Forms & Applications

The following forms are provided for your convenience.

In the event of an emergency, call 911.

• Block Parent Application - Application to become a Block Parent in the City of Cedarburg.
• Citizen's Police Academy Application - Application to enroll in CPD Citizens Police Academy program.
• Key Holder Form - To update key holder information, please complete this form and return to the Cedarburg Police Department.
• Public Records Request Form - Form for obtaining copies of public records.
• Community Room Reservation Forms - Forms required for renting space in Community Meeting Room at Cedarburg Police Station.
• Statement Forms - Forms used for making voluntary, written statement to accompany an incident report. If you are making an initial statement, please select "Voluntary Statement Form"; if your statement will be longer than one page, please click on "Supplementary Statement Form" for additional pages.
• TELE-CARE Application - Application for TELE-CARE services from the City of Cedarburg.
• Vacation / Home Security Check Request Form - Form to request a security check of your home while you are on vacation or out-of-town. Completed forms may be dropped off at the police station, faxed to (262) 375-7624, or emailed: click here.
• Worthless Check Policies & Procedures and Complaint Form - Procedure and form relating to investigation of worthless check complaints.