Please provide as much information as possible about the commendable action. This form is transmitted directly to the Office of Internal Affairs.
Name (Last, First MI)
Address
City, State, ZIP
Best Number to Contact You Best Times to Contact You Other Telephone Number
E-mail
Date of occurrence
Approximate time(s) of occurrence
Location of occurrence
Officer(s) involved If you do not know the officer's name, please provide a description of the officer(s) in the narrative section below.
Explain what happened from your point of view. Please provide as much detail as possible.