Roxana, IL · Madison County

No notary required

Compliment an Officer or File a Complaint

Use this form to compliment Roxana Police Department personnel or file a complaint about their actions or professionalism.

What this form is

The Roxana Police Department form lets you submit a compliment or complaint about department personnel. It asks for contact information, incident details, the name and description of the person involved, and witness information; the signer declares the complaint allegations are true. The form says compliments go to the Chief of Police and that submitted forms are sent directly to the Chief.

Who needs it

Anyone wishing to commend Roxana Police Department personnel or report a concern about their actions or professionalism can complete this form.

How to submit it

Submit the completed form to the Roxana Police Department at 310 N. Central Avenue, Roxana, IL 62084.

About notarization

This document is signed and dated without a notary; it lists no notarized or sworn attachments, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Compliment an Officer or File a Complaint form.

  2. 2

    Complete The Form

    Provide the requested contact information and incident details, then read the statements and sign and date the form.

  3. 3

    Check For Attachments

    The document does not list any attachments to gather.

  4. 4

    Submit To The Department

    Submit the completed form to the Roxana Police Department at 310 N. Central Avenue, Roxana, IL 62084.

Frequently asked questions

What is the Compliment an Officer or File a Complaint form for?
Use it to commend Roxana Police Department personnel or report a complaint about their actions or professionalism.
What information does the form ask for?
It asks for contact information, incident type and details, the location and date, information about the person involved, and witness names and phone numbers.
How do I submit the form?
Submit it to the Roxana Police Department at 310 N. Central Avenue, Roxana, IL 62084.
Do I need a notary for this complaint form?
No. The document is signed and dated without a notary, and it lists no notarized or sworn attachments.

Need something notarized?

This Compliment an Officer or File a Complaint doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.