Complainants Name Date of Birth Complainants Address Home Phone Cell Phone Work Phone Date of incident Location of Incident Officers Involved Witness Phone Address Nature of Complaint ID: 573040
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Slide1
Date of Complaint
Complainant’s Name
Date of Birth
Complainant’s Address
Home Phone
Cell Phone
Work Phone
Date of incident
Location of Incident
Officer(s) Involved
Witness
Phone
Address
Nature of Complaint
Brief Synopsis:
Excessive Force
Rude/Discourteous
Failure to Act
Misconduct
Other:
PORTALES POLICE DEPARTMENT
CITIZEN COMPLAINANT FORM
Witness
Phone
Address
Witness
Phone
Address
q
q
q
q
q
Signature of Complainant
(CONTINUE ON BACK IF NECESSARY)
Page ______ of ______
The Portales Police Department takes all complaints against its members seriously. The public has a right to expect and demand fair and impartial law enforcement services.
To
protect the rights of the public and the Department employee, it is necessary that allegations of misconduct be thoroughly investigated
.
Please be advised that this complaint is a public record and is subject to the Inspection of Public Records Act (IPRA) NMSA 1978 14-2-1 through 12 and may be disseminated as such. This complaint and the statements contained therein may also be used in a court of law or Administrative proceeding. It is unlawful to make or file a false report.
PPD-002Slide2
(CONTINUED FROM FRONT)
PORTALES POLICE DEPARTMENT CITIZEN COMPLAINANT FORM
Signature of Complainant
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
Page ______ of ______