Commendations and Complaints Form

**DO NOT USE THIS FORM TO REPORT A CRIME.**

Complaint or Commendation

This is a

Complaint

Commendation

Information About you

Email Address

First Name

Middle Initial

Last Name

Optional Information

Race/Ethnicity

Gender

Date of Birth

Contact Information

Home Street Address

Home City

Home State AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY

Home Zip Code

Home / Cell Phone Number

Business Street Address

Business City

Business State Option 1

Business Zip Code

Business Phone Number

Incident Information

Date of Incident

Time of Incident

121234567891011 : 0030 AMPM

Location of Incident

Incident Narrative

First Officer's Badge Number

First Officer's Name

Second Officer's Badge Number

Second Officer's Name