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2. 

4. If you wish to express a concern or file a complaint, please provide the following information:

6. YOUR INFORMATION
8. First Name*
9. Last Name*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Email Address*
22. INCIDENT INFORMATION
24. Date*
25. Time*
26. Location*
28. Case Number (if known)
29. Officer Name or Badge (if known)
31. Complaint*

    Please provide the details of your complaint. List any other witnesses and/or persons involved. 

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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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