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2. This form may be submitted anonymously. Individuals are encouraged to provide as much information as possible. Contact information such as telephone numbers assists us in gathering additional information that may be needed in the complaint investigation process.

4. Compliment or Complaint*

   1. Commendation

   1. Complaint
5. Date*
   Date
7. Name
8. Email Address
10. Address
12. City
13. State
14. Zip Code
16. Phone Number
17. Work Phone

19. ---

21. Employee Name, Rank/Title, Badge Number, Police Vehicle Number
23. Incident Date
    Incident Date
24. Incident Time
    Incident Time
25. Were there any witnesses?

    1. Yes

    1. No
27. Witness Name
28. Email Address
30. Address
32. City
33. State
34. Zip Code
36. Phone Number
37. Work Phone
39. Details of Contact:
41. Upload Any Supporting Documentation or Photos
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field