Are you filing a Complaint or Commendation ?

Nature:

Date of Incident:  mm/dd/yyyy
Time of Incident:    AM      PM
Location of Incident: 

Complainant/Individual Given Commendation
Name: 
E-Mail Address:
Address (Street): 
City:    State:    Zip: 
Phone (Day):     Eve:

Other Complainants/Witnesses/Individuals Giving Commendation
Name:
E-Mail Address:
Address (Street):
City:   State:   Zip:
Phone (Day):    Eve:

Name:
E-Mail Address:
Address (Street):
City:   State:   Zip:
Phone (Day):    Eve:

Officer/Employee Involved:

Summary of Incident