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LEDS Validation

Use this form for all LEDS Validation Request
LEDS Validation
Please Complete the below information
Property Description (required)
Property Disposition (required)
LEDS Validation Contact
Please provide the following information
Case Number (required)
Date (required)
Name (required)
Address (required)
Phone Number (required)
email address (required)
Additional Remarks
Electronic Signature
By signing below, you acknowledge that you have received and understood the contents of this LEDS validation. Furthermore, you confirm with your signature that you are the person listed on this form and the information is accurate to the best of your knowledge.
Electronic Signature (required)


Filing a false police report is a crime (ORS 162.375). Please review your information above.



500 Central Avenue
Coos Bay, OR 97420
Non-Emergency Phone: 541-269-8911

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