Graham Police Department
Complaint Against Employee
Language
CAD Incident #
Type of Complaint
Cowardice
Discrimination
Excessive Force
Inappropriate Driving
Insufficient Probable Cause
Policy Violation
Preferential Treatment
Rudeness
Theft
Verbal Abuse
Date of Complaint
Time of Complaint
Individual Filing the 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
Additional Email
Date of Birth
Age
Race
Gender
Driver’s License #
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
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
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
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
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Complaint Against Employee Preview
Language
CAD Incident #
Type of Complaint
Date of Complaint
Time of Complaint
Individual Filing the 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