Old Saybrook, CT · Middlesex County
Civilian Complaint Report
The Old Saybrook Department of Police Services Civilian Complaint Report collects incident details, complainant information, and a signed statement from anyone filing a complaint about police conduct.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this three-page report to describe an incident, identify the complainant and any witnesses, answer questions about the incident, and attach relevant supporting materials. The complainant signs a statement affirming the information is true and accurate to their knowledge. The completed form should be given to a police supervisor or sent to the department’s Internal Affairs Unit at the address or email listed on the form.
Who needs it
Anyone submitting a complaint about an incident involving Old Saybrook police services should complete the report and provide it to a police supervisor or the Internal Affairs Unit.
Why it needs a notary
The form includes an acknowledgment before an undersigned officer and a notary block; the complainant signs the truth-and-accuracy statement before the notarial officer.
How to get this notarized
- 1
Download the Form
Get the Civilian Complaint Report from the Town of Old Saybrook website.
- 2
Complete the Report
Enter incident and complainant details, answer the listed questions, and attach supporting materials as appropriate.
- 3
Book an Online Notary
Arrange an appointment with a commissioned online notary, and check with the police department about accepting online notarization.
- 4
Sign on Video
Follow the notary’s instructions to sign the complainant statement during the online session.
- 5
Submit to the Department
Give the completed report to a police supervisor or send it to the Internal Affairs Unit using the contact details on the form.
Preview the form
The blank PDF straight from Old Saybrook. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the completed complaint report?
- The form says to give it to a police supervisor or send it to the Internal Affairs Unit at the department address or email printed on the form.
- Do I need to sign the complaint in front of a notary?
- The report includes an acknowledgment before an undersigned officer and a notary block. Ask the receiving police department whether it accepts an online notarization for this form.
- Can I use a commissioned online notary for this form?
- Connecticut authorizes remote online notarization by its own notaries under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b. Check with the police department about accepting this form’s acknowledgment.
- Who should I contact if I have questions about filing?
- The form directs complaints to a police supervisor or the Internal Affairs Unit. For municipal filing questions, confirm with the town clerk if unsure.
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Civilian Complaint Report in other Middlesex County cities
Each city publishes its own version of this form. Pick the city where you’re filing.