Police Department Online Citizen Complaint Form
 
 
Traffic Stop?
 
Your Name:
Date Of Birth:
Email:
 
Your Address:
Home Phone:
 
Your Employer:
Business Phone:
 
Incident Date:
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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