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Online Complaint Form

Information (person filing complaint)

First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Home Phone:
Business Phone:
Email Address:
Date of Birth:
Race:
Gender:  

Description of Incident

* Please enter as much detail as possible about the actions of officer(s).

  Incident Description cannot be empty

Victim/Witness Information
Are you the victim of this incident complaint?  
If you are filing on behalf of someone else, what's your relationship to the person?
Witness A
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Home Phone:
Alternate Phone:
Email Address:
Date of Birth:
Race:
Gender:  
Witness B
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Home Phone:
Business Phone:
Email Address:
Date of Birth:
Race:
Gender: