Citizen Complaint
COMPLAINANT INFORMATION
Please provide as much information as possible about the incidents(s).
INFORMATION ABOUT THE OFFICER(S) INVOLVED IN THE INCIDENT
VICTIM/WITNESS INFORMATION
INFORMATION ABOUT THE INCIDENT
COMPLAINANT INFORMATION
Name:
Date of Birth:
Address:
City:
State:
Business Phone:
Best Time to Contact:
E-mail:
Repeat to confirm
Officer #1
Officer Name:
Badge #
Vehicle #
Please provide a physical description of the officer:
Officer #2
Officer Name:
Badge #
Vehicle #
Please provide a physical description of the officer:
Officer #3
Officer Name:
Badge #
Vehicle #
Please provide a physical description of the officer:
VICTIM/WITNESS INFORMATION
Did you witness this incident?
If you are filing a complaint on behalf of someone else, what is your relationship, if any to the person(s):
Victim/Witness #1
Please provide as much of the following information as you can about the person(s) on whose behalf the complaint is filed and any witness (es) to the incident: