Citizen Complaint

Complaint Against Employee

Please use the following link to submit any photographic and/or video evidence related to your complaint against the Watauga Police Department.

https://wataugapd.evidence.com/axon/citizen/public/ps-ia

Language*

CAD Incident #

Type of Complaint

Date of Complaint*

Time of Complaint*

Individual Filing the Complaint

Please enter Instruction here

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

Additional phone

Additional Email

Date of Birth

Age

Race

Gender

Driver’s License #

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?

Yes

Type of Injury

Severity of Injury

Did you seek medical attention?

Doctor Information

Doctor’s Name

Doctor’s Phone

Attorney Information

Witness Remove

Please enter Instruction here

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 Employee declared yet.

Employee Name

Relationship to Employee

Witness

Employee Remove

Please enter Instruction here

Employee Information

Employee #

First name

Middle name

Last name

Age

Race

Gender

In Uniform

Division

Section

Unit

Description of Employee

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Number

Vehicle Characteristics

Employee

Incident

Please enter Instruction here

Date of Incident

Day of Incident

Time of Incident

Incident Location

Address

City

State

Zip

Incident Description

Attachment(s) supporting complaint:

File Name	Created
No attachment available
		View

Complaint Against Employee Preview

Please use the following link to submit any photographic and/or video evidence related to your complaint against the Watauga Police Department.

https://wataugapd.evidence.com/axon/citizen/public/ps-ia

Language

CAD Incident #

Type of Complaint

Date of Complaint

Time of Complaint

Individual Filing the Complaint

Please enter Instruction here

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

Additional phone

Additional Email

Date of Birth

Age

Race

Gender

Driver’s License #

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

Witness

Please enter Instruction here

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 Employee declared yet.

Employee Name

Relationship To Employee

Employee

Please enter Instruction here

Employee Information

Employee #

First name

Middle name

Last name

Age

Race

Gender

In Uniform

Division

Section

Unit

Description of Employee

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Number

Vehicle Characteristics

Incident

Please enter Instruction here

Date of Incident

Day of Incident

Time of Incident

Incident Location

Address

City

State

Zip

Incident Description

Attachment(s) supporting complaint:

File Name	Created
No attachment available

By signing this document by electronic signature, I acknowledge and agree that my electronic signature is the legally binding equivalent to my handwritten signature.

Additionally, I swear that it is my desire this complaint be investigated diligently. I further understand that if the investigation proves these allegations to be false, I may be liable to criminal and civil prosecution. I also understand that in some cases, I may be asked to submit to a polygraph examination as a part of this investigation. I hereby swear and affirm, the above to be true and correct to the best of my knowledge.