Commendation/Complaint Form

If you see this don't fill out this input box.

*Date and Time

This is to report a:

CommendationComplaint

*Complainant's Name

J Number (if applicable)

Address

Local Address

Phone Number

*Email Address

Agent Representing Complainant (Unless represented by self)

Address

Phone Number

Event/Incident Information

*Event/Incident Date

Case Number if known/applicable

*Location of Event/Incident

Officer(s) Involved in Event/Incident

*Describe the event or incident

By clicking submit, I do solemnly swear that the alleged incident occurred and I am fully aware that filing a false report may be subject to criminal and/or civil penalties under law.

Please click the checkbox below to complete user verification.

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