Policeabuse.com complaint intake form

Complaint form used to report misconduct against law enforcement personnel.

* 1. Name of police department?

* 2.  Police Department ZIP Code?

* 3. What was the date and time of the incident?

Date / Time
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* 4. Briefly describe what happened.

* 5. Primary reason for complaint?

* 6. Most Serious Offenses 

* 7. Race of Officer

* 8. Officer Name and Badge Number 

* 9. Were you arrested?

* 10. Contact Information 

* 11. Do you have evidence supporting your allegations?

* 12. Do you want a Policeabuse.com investigator to contact you?

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