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Citizen Complaint Form

HomeFormsCitizen Complaint Form

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Internal Affairs Unit #

Your Information

Full Name *

Date of Birth *

Email *

Primary Phone *

Address *

Address 2

City *

State *

ZIP *

Incident Information

Date & Time of Incident *

Address *

Address 2

City *

State *

ZIP *

Officer(s) Involved

Officer Full Name *

Squad Car Number

Witness Information

Witness Full Name *

Primary Phone *

Email

Incident Summary *

I confirm the information provided is true to my knowledge. *