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2. PLEASE READ

   It is essential that the entire community have confidence in its police department. This requires procedures for the adequate and expedient processing of all allegations of misconduct by Department members. Procedures have been established by this agency to see that all complaints are properly recorded and investigated. A brief summary of the stages involved in the investigation of your complaint is as follows:

   The investigator or supervisor assigned to investigate your allegation must complete the investigation and submit a report that includes their findings within thirty (30) or forty-five (45) days. If extenuating circumstances exist, the investigator or supervisor may ask to extend the investigation. Following final disposition by the Chief of Police, you will be notified in writing of the disposition.

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip*
13. Date of Birth*
14. Phone Number*
15. Gender*
    -- Select One --FemaleMaleNon-BinaryPrefer to not answer
16. Race*
18. Incident Information
20. Date and Time of Incident*
    Date and Time of Incident

    Date and Time of Incident
21. Complainant Arrested or Summonsed?*
    -- Select One --YesNo
22. Location of Incident*
24. Was there an injury?*
    -- Select One --YesNo
25. Where was injury treated?*

    Type N/A if not applicable 

27. Officers Present During Incident*

    List names of all officers present during the incident

29. Witnesses Present During Incident*

    List names, phone numbers, and addresses for all witnesses present during the incident

31. Complaint Narrative*

    Please explain the incident. Be specific in your description of actions, words, and circumstances. It is crucial to the investigation that you fully describe your actions, the actions of the Police officer(s), and any other persons involved in your complaint. Include any additional witness information in this space if necessary.

33. Additional Narrative Space if Needed
35. What particular result do you seek from this complaint? What are you asking for?*
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field