Madison County Sheriff's Office
Complaint Against Employee
Every citizen has the right to make a complaint against an employee of the Madison County Sheriff’s Office. The complaint may be made to any supervisor or the Internal Affairs Division. A complaint may be made in person, by telephone, by mail, or to a supervisor directly involved in the incident. Complaints may also be made anonymously.
Once a complaint is received, the following procedures are followed:
1.
The complaint is forwarded to the Internal Affairs Division.
2.
You will receive a letter or email acknowledging receipt of your complaint.
3.
We will investigate your complaint.
4.
We will notify you of the results of the investigation.
Language
*
CAD Incident #
Type of Complaint
Excessive Force
Sexual Misconduct
Abuse of Authority
Rudeness/Unprofessionalism
Racial Profiling
General Misconduct
Date of Complaint
*
Time of Complaint
*
Individual Filing the Complaint
Enter your personal information so we may contact you directly if our investigators have any additional questions and to notify you upon completion of our investigation.
You may remain anonymous by checking the appropriate checkbox if you wish. However, we will have no means to notify you of the outcome of the investigation. If you complete this form on behalf of another, please provide your information in addition to the individual’s information on whose behalf you are submitting this complaint.
Complainant is a minor/needs help.
Yes
No
Information of individual completing the form on behalf of another:
First Name
Middle Name
Last Name
Address
City
State
Zip
Home Phone
Cell Phone
Email
Relationship to Complainant
I want to remain anonymous.
First Name
Middle Name
Last Name
Address
City
State
Zip
Home phone
Cell phone
Additional phone
Email
Date of Birth
Age
Race
Gender
Disability
Type of Disability(s)
Anxiety Disorder
Bi-Polar
Deaf
Depression
In Wheelchair
Missing Limbs
Mute
Other
Panic Disorder
Post-Traumatic Stress Disorder
Schizophrenia
Best time to contact?
Primary Language Spoken
Are you able to communicate in English?
Arrested?
Citation Number
Injury Information
Was complainant injured during the incident?
Yes
No
Type of Injury
Severity of Injury
Did you seek medical attention?
Doctor Information
Doctor’s Name
Doctor’s Phone
Attorney Information
Attorney's Name
Attorney's Phone
Witness
Remove
Please enter Instruction here
Witness Information
First name
Middle name
Last name
Address
City
State
Zip
Home phone
Cell phone
Additional Phone #
Email
Additional Email
Date of Birth
Age
Race
Gender
Driver’s License #
Relationship to Complainant
Witness Relationship to Employee
There are no Employee declared yet.
Employee Name
Relationship to Employee
Witness
Employee
Remove
Please enter any information of the employee(s) who you are complaining on. If you do not know the involved employee’s name or ID number, please describe them as best as possible as this will assist us in identifying the employee.
Employee Information
Employee #
First name
Middle name
Last name
Age
Race
Gender
In Uniform
Division
Description of Employee
Vehicle Information
Vehicle Make
Vehicle Model
Vehicle Color
Vehicle Number
Vehicle Characteristics
Employee
Incident
Please enter any information you have about the incident involved in your complaint. Please provide as many details as possible as this will assist us in our investigation.
Date of Incident
Date of Incident
Day of Incident
Time of Incident
Incident Location
Address
City
State
Zip
Incident Description
Supporting Documentation
Photo
Video
Attachment(s) supporting complaint:
File Name
Created
No attachment available
View
Preview and Submit
Complaint Against Employee Preview
Every citizen has the right to make a complaint against an employee of the Madison County Sheriff’s Office. The complaint may be made to any supervisor or the Internal Affairs Division. A complaint may be made in person, by telephone, by mail, or to a supervisor directly involved in the incident. Complaints may also be made anonymously.
Once a complaint is received, the following procedures are followed:
1.
The complaint is forwarded to the Internal Affairs Division.
2.
You will receive a letter or email acknowledging receipt of your complaint.
3.
We will investigate your complaint.
4.
We will notify you of the results of the investigation.
Language
CAD Incident #
Type of Complaint
Date of Complaint
Time of Complaint
Individual Filing the Complaint
Enter your personal information so we may contact you directly if our investigators have any additional questions and to notify you upon completion of our investigation.
You may remain anonymous by checking the appropriate checkbox if you wish. However, we will have no means to notify you of the outcome of the investigation. If you complete this form on behalf of another, please provide your information in addition to the individual’s information on whose behalf you are submitting this complaint.
Complainant is a minor/needs help.
Information of individual completing the form on behalf of another:
First Name
Middle Name
Last Name
Address
City
State
Zip
Home Phone
Cell Phone
Email
Relationship to Complainant
I want to remain anonymous.
First Name
Middle Name
Last Name
Address
City
State
Zip
Home phone
Cell phone
Additional phone
Email
Date of Birth
Age
Race
Gender
Disability
Type of Disability(s)
Best time to contact?
Primary Language Spoken
Are you able to communicate in English?
Arrested?
Citation Number
Injury Information
Was complainant injured during the incident?
Type of Injury
Severity of Injury
Did you seek medical attention?
Doctor Information
Doctor’s Name
Doctor’s Phone
Attorney Information
Attorney's Name
Attorney's Phone
Witness
Please enter Instruction here
Witness Information
First name
Middle name
Last name
Address
City
State
Zip
Home phone
Cell phone
Additional Phone #
Email
Additional Email
Date of Birth
Age
Race
Gender
Driver’s License #
Relationship to Complainant
Witness Relationship to Employee
There are no Employee declared yet.
Employee Name
Relationship To Employee
Employee
Please enter any information of the employee(s) who you are complaining on. If you do not know the involved employee’s name or ID number, please describe them as best as possible as this will assist us in identifying the employee.
Employee Information
Employee #
First name
Middle name
Last name
Age
Race
Gender
In Uniform
Division
Description of Employee
Vehicle Information
Vehicle Make
Vehicle Model
Vehicle Color
Vehicle Number
Vehicle Characteristics
Incident
Please enter any information you have about the incident involved in your complaint. Please provide as many details as possible as this will assist us in our investigation.
Date of Incident
Date of Incident
Day of Incident
Time of Incident
Incident Location
Address
City
State
Zip
Incident Description
Supporting Documentation
Attachment(s) supporting complaint:
File Name
Created
No attachment available
I confirm that I have read understood the "Electronic Record and Signature Disclosure" and consent to use electronic records and signatures.
Signature
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