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Personnel Complaint Form

2. Name*

4. Address*

6. City*

7. State*

8. Zip Code*

10. Phone Number*

11. Email Address*

13. Best Form of Contact*

    1. Phone
    2. Email

15. Date / Time of Occurence*
    Date / Time of Occurence

    Date / Time of Occurence

17. Location of Occurence

19. Name or Description of Officer(s)

21. List any witnesses to the incident (name, address, phone):

23. Explain your complaint in detail:*

27. Complaint Information Advisory
    You have the right to make a complaint against a police officer for any improper police conduct. California law requires this agency to have a procedure to investigate citizen's complaints. You have a right to a written description of this procedure. This agency may find, after investigation, that there is not enough evidence to warrant action on your complaint. Even if that is the case, you have the right to make a complaint and have it investigated if you believe an officer behaved improperly. Citizen complaints and any reports or findings related to complaints must be retained by this agency for at least five years.

    You have the right to make a complaint against a police officer for any improper police conduct. California law requires this agency to have a procedure to investigate citizen's complaints. You have a right to a written description of this procedure. This agency may find, after investigation, that there is not enough evidence to warrant action on your complaint. Even if that is the case, you have the right to make a complaint and have it investigated if you believe an officer behaved improperly. Citizen complaints and any reports or findings related to complaints must be retained by this agency for at least five years.

29. By checking this box, I certify that I have read and understood the Complaint Information Advisory.*

    1. Yes

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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

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