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Police Department Online Citizen Complaint Form
 
 
Your Name:
Date Of Birth:
Email:

Your Address:
Home Phone:

Your Employer:
Business Phone:

Date/Time Of Incident:
Address Where Incident Occurred:

Name, if known, of Arlington Police employee(s) you are complaining about.
1.
2.
3.
4.

If name is not known, describe the Police employee(s) you are complaining about:

Have you reported this to other officers?
If so, whom?
Did you receive a citation(s)?
Number and reason?
Were you arrested?
Reason?
Do you have a police report number for this incident?
Number?
Do you know the police car number?
Number?

Witnesses who actually saw the event:
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:

Summary Of Event:

PLEASE READ BEFORE SUBMITTING
I understand that it is a violation to willfully make a false report. In the event this report is proven false, the information may be provided to the District Attorney or City Prosecutor for possible prosecution.

By clicking the Submit button I certify that the statements in this form are true.


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