Submit a complaint to the Police Oversight Commission

Name
First Last
Home Address
Street Address City State ZIP Code
Work Address
Street Address City State ZIP Code
Home phone
Work phone
Cell phone
Email
Email address Confirm email address
Date of Birth
Month
Day
Year
Involved employee(s)(Required)
Name ID#
Description of employee if name is unknown
Location of occurrence(Required)
Date of occurence(Required)
MM slash DD slash YYYY
Time of Occurance(Required)

Hours :

Minutes

AM/PM AM/PM

If you do not know the exact time, please provide the approximate time to the best of your knowledge.
Description of event(Required)
Consent(Required)
You have the right to make a complaint against a police officer for any improper police conduct. California law requires this agency to have a procedure to investigate citizens’ complaints. You have a right to a written description of this procedure. This agency may find after investigation that there is not enough evidence to warrant action on your complaint; even if that is the case, you have the right to make the complaint and have it investigated if you believe an officer behaved improperly. Citizen complaints and any reports or findings related to the complaints must be retained by this agency for at least five years.
- I have read and understand the above statement, and have presented true and accurate facts.

Name	ID#