Police Department Employee Misconduct Report

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Please correct the field(s) marked in red below:

Your Information:

1
Your Name
2
Age
3
Sex
Sex
4
Home Address
5
Phone Number
6
Email Address
7
Business Address
8
Business Phone Number

Employee Involved in Complaint:

9
Name
10
Rank
11
DSN
12
Nature of the Call for Police

Complaint:

13
Date of Incident
14
Time of Incident
15
Location of Incident
16
Nature of Complaint
17
Statement of Complaint
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