Online Complaint

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Street Address *

Address *

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Email *

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-------------------COMPLAINT-------------------------------------------

Case Number (if known)

Date of Incident *

Time of Incident *

Location of Incident

Complaint involves allegations of *

---------------------Witness Name (if any)-----------------------------------

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Last

Witness Phone

Witness Address

City/State

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Last

---------------OFFICER INFORMATION------------------------ *

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Last

ID Number (if known)

Was the Member in Uniform at the time of the incident?

Yes
No
I Don't Remember

Was the officer in a Marked or Unmarked Patrol Vehicle?

Marked Patrol Vehicle (Had "POLICE" on vehicle)
Unmarked Patrol Vehicle (No marking of "POLICE")
I Don't Remember

---------------SECOND OFFICER INFORMATION (If Applicable)------------------------

First

Last

ID Number (if known)

Was the Member in Uniform at the time of the incident?

Yes
No
I Don't Remember

Was the officer in a Marked or Unmarked Patrol Vehicle?

Marked Patrol Vehicle (Had "POLICE" on vehicle)
Unmarked Patrol Vehicle (No marking of "POLICE")
I Don't Remember

Narrative about the Incident *

Submission & Legality F.S.S. 837.06 Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree, punishable as provide in §775.082 or §775.083 Further, if the charges are found to be unfounded or exonerated, the accused has the right to persue civil recourse against the complainant. Do you hereby acknowledge that the information submitted is true and accurate? *

Yes

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Online Complaint

Internal Affairs Complaint Intake

Complainant Information
You must fill out this form in its entirety. Any false information submitted will not be processed.

Internal Affairs Complaint Intake

Complainant Information You must fill out this form in its entirety. Any false information submitted will not be processed.

Complainant Information
You must fill out this form in its entirety. Any false information submitted will not be processed.