Citizen Complaint

Complaint Against Employee

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.

Disclaimer:

You may submit this complaint anonymously by selecting the appropriate option. However, if you choose to remain anonymous, we will have no means to notify you of the outcome of the investigation. In addition, anonymity may limit our ability to gather additional information, clarify details, or fully investigate the matter. Providing your contact information allows us to conduct a more thorough investigation and keep you informed of the process and outcome.

Complainant is a minor/needs help.

Yes

Information of individual completing the form on behalf of another:

First Name

Middle Name

Last Name

Address

City

State

Zip

Home Phone

Cell Phone

Relationship to Complainant

I want to remain anonymous.

First Name

Middle Name

Last Name

Address

City

State

Zip

Home phone

Cell phone

Date of Birth

Age

Best time to contact?

Primary Language Spoken

Are you able to communicate in English?

Arrested?

Witness Remove

Enter any individuals that have or may have witnessed the incident.

Witness Information

First name

Middle name

Last name

Address

City

State

Zip

Home phone

Cell phone

Additional Phone #

Additional Email

Date of Birth

Age

Race

Gender

Driver’s License #

Relationship to Complainant

Witness Relationship to Employee

There are no Subject Employee declared yet.

Subject Employee Name

Relationship to Subject Employee

Witness

Subject 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 the Sheriff's Office in identifying the employee.

Employee Information

Employee #

First name

Middle name

Last name

Age

Race

Gender

In Uniform

Description of Employee

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Number

Vehicle Characteristics

Subject Employee

Incident

Date of Incident

Day of Incident

Time of Incident

Incident Location

Address

City

State

Zip

Incident Description

File Name	Created
No attachment available
		View

Complaint Against Employee Preview

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.

Disclaimer:

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

Relationship to Complainant

I want to remain anonymous.

First Name

Middle Name

Last Name

Address

City

State

Zip

Home phone

Cell phone

Date of Birth

Age

Best time to contact?

Primary Language Spoken

Are you able to communicate in English?

Arrested?

Witness

Enter any individuals that have or may have witnessed the incident.

Witness Information

First name

Middle name

Last name

Address

City

State

Zip

Home phone

Cell phone

Additional Phone #

Additional Email

Date of Birth

Age

Race

Gender

Driver’s License #

Relationship to Complainant

Witness Relationship to Employee

There are no Subject Employee declared yet.

Subject Employee Name

Relationship To Subject Employee

Subject Employee

Employee Information

Employee #

First name

Middle name

Last name

Age

Race

Gender

In Uniform

Description of Employee

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Number

Vehicle Characteristics

Incident

Date of Incident

Day of Incident

Time of Incident

Incident Location

Address

City

State

Zip

Incident Description

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

Clear