Clearlake, CA · Lake County

No notary required

Complaint Of Employee Misconduct

This form lets a person report alleged misconduct by Clearlake Police Department personnel and provide details about the incident.

What this form is

Use this form to submit a complaint about alleged misconduct by Clearlake Police Department personnel, including conduct, force, untruthfulness, procedure, or bias or discrimination. It asks for the complainant’s contact information, incident details, a narrative, injury information, requested outcome, and witness details. The department accepts complaints through several means, and the form includes a statement for the complainant to sign and date.

Who needs it

Anyone wishing to make a written complaint about alleged misconduct by Clearlake Police Department personnel can complete this form.

How to submit it

The department accepts complaints by letter, telephone, in person, or other means that allow intelligible communication. The form also lists walk-in, mail, and fax as ways a complaint may be received.

About notarization

This document is signed without a notary; the complainant signs and dates the statement, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Complaint Of Employee Misconduct form.

  2. 2

    Complete The Complaint

    Provide your contact information and incident details, describe what happened in your own words, and complete the applicable sections.

  3. 3

    Sign And Date

    Read the statement and sign and date it.

  4. 4

    Send The Complaint

    Submit your complaint by letter, telephone, in person, or another means that allows intelligible communication.

Frequently asked questions

Do I need a notary for the Complaint Of Employee Misconduct?
No. The complainant signs and dates the statement; the form does not mention a notarized or sworn attachment.
How do I submit the Complaint Of Employee Misconduct?
The department accepts complaints by letter, telephone, in person, or other means that allow intelligible communication. The form also lists walk-in, mail, and fax.
What information does the complaint form ask for?
It asks for complainant and incident details, a narrative, injury information, the requested outcome, witness details, and the complainant’s signature and date.

Need something notarized?

This Complaint Of Employee Misconduct doesn’t need a notary — but if you have another Clearlake form that does, a commissioned online notary can help.