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Citizen's Complaint Form

  1. Citizens Complaint Form Banner

  2. Citizen's Information Below

  3. Did You Personally Witness the Event*

  4. List any know witness(es) to the Event other than yourself below

  5. Describe in detail the basis of your complaint. Warning: False statements will subject you to civil and /or criminal penalties for filing a false report.

  6. The statement above and/or attached, is true and correct representation of the facts of the event that lead to this complaint being filed and has been written to the best of my knowledge.

  7. Electronic Signature Disclosure

    By entering you name in the box above, you agree and acknowledge that 1) your complaint will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  8. This section below is for Internal Use Only

  9. Disposition of Finding

  10. Status

    ___Unfounded ___Exonerated ___Unsustained ___Founded

  11. Notes

    ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________

  12. Date


  13. Action Taken

    ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________

  14. Leave This Blank:

  15. This field is not part of the form submission.