Citizen Complaint Form

Complete the official form online. A completed PDF will be sent to department administration and returned to you for printing.

Not for emergencies. Call 911 when immediate police, fire, or medical assistance is needed.

DateEmail for ConfirmationRequired only for online submission and confirmation.

Complainant's Full NameComplainant's Address

CityStateZIP

Home PhoneWork PhoneCell Phone

Type of AllegationLocation of Occurrence

Date of OccurrenceTimeAM or PM

Employee(s) Allegedly Involved

Witnesses (Optional)

Witness 1 NameAddressPhone

Witness 2 NameAddressPhone

Witness 3 NameAddressPhone

Description of Allegation / Statement of ComplaintInclude complete, factual details. Minimum 20 and maximum 3,000 characters.Related Incident Report Case Number (Optional)Typed SignatureI affirm that the information provided is true and complete to the best of my knowledge and intend my typed name to serve as my signature on this submission.

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