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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. Do you wish to be contacted about the outcome of this complaint?*
  8. 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.
  9. This section below is for Internal Use Only
  10. Disposition of Finding
  11. Status
    ___Unfounded ___Exonerated ___Unsustained ___Founded
  12. Notes
    ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________
  13. Date
    ______________
  14. Action Taken

    ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________

  15. Leave This Blank:

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