Police

Office of Professional Accountability Complaint Form

Please note that all of the fields below are required. You must fill out the form completely and then press the Submit button.

Complainant Name:
Home Address:
City, State, Zip:
Complainant Business Address:
City, State, Zip:
Home Telephone:
Cellular Telephone:
Pager Number:
Business Telephone:

WITNESSES:

 Name
Address
City, State, Zip
Telephone Number
Name
Address
City, State, Zip
Telephone Number
Name
Address
City, State, Zip
Telephone Number

Description of incident (include date and location):