Placentia, CA · Orange County

No notary required

Citizen Complaint Form

Placentia residents use this form to report alleged improper conduct by a police officer or employee and request an investigation by the Police Department.

What this form is

The Placentia Police Department Citizen Complaint Form lets you describe an event and identify the people involved, including witnesses and officers or employees. Use it to file a complaint about alleged improper police conduct; the form says complaints are investigated and the complainant will be notified of the finding in writing. It asks for your contact information, a detailed account, and your signature and date.

Who needs it

A person who wants the Placentia Police Department to investigate alleged improper conduct by a police officer or employee can use this form.

How to submit it

Present the completed form to the on-duty Watch Commander, or mail it to Placentia Police Department, 401 E. Chapman Ave., Placentia, CA 92870. The form also says complaints may be made by telephone.

About notarization

This document is signed without a notary; the complainant signs and dates it, and a parent or guardian also signs if the complainant is under 18.

How to submit this form

  1. 1

    Download The Form

    Download the Citizen Complaint Form from this page.

  2. 2

    Complete The Form

    Provide your contact information, identify witnesses and officers or employees, describe the event, and sign and date the form.

  3. 3

    Gather Additional Sheets

    Attach additional sheets if needed. A parent or guardian must sign if the complainant is under 18.

  4. 4

    Submit To The Police Department

    Present the completed form to the on-duty Watch Commander or mail it to the Placentia Police Department.

Frequently asked questions

Do I need a notary for the Citizen Complaint Form?
No. The complainant signs and dates the form without a notary. If the complainant is under 18, a parent or guardian must also sign.
How do I submit the Citizen Complaint Form?
Present the completed form to the on-duty Watch Commander or mail it to the Placentia Police Department at 401 E. Chapman Ave., Placentia, CA 92870. The form also says complaints may be made by telephone.
What information does the form ask for?
It asks for the complainant’s contact information, witness and officer or employee details, a description of the event, and the complainant’s signature and date.

Need something notarized?

This Citizen Complaint Form doesn’t need a notary — but if you have another Placentia form that does, a commissioned online notary can help.