Citizen Complaint Form

Please use this form as a way to communication any issues or complaints you may need to express to the Public Safety department.

This form is also available as a word document.

Address
Contact

I can be contacted the hours 

My Complaint is in regards to
Date of Occurrence

I understand, and it is my desire, that this complaint will be investigated diligently.  I further understand that if the investigation proves these allegations to be false, I may be liable to both criminal and civil prosecution.  I also understand that in some cases I may be asked to submit to a polygraph examination as a part of this investigation.

Today's Date
Typing your name here is considered to be your signature.
If complaint is from individual under age of 18 years.