New Berlin, IL · Sangamon County

No notary required

Department Complaint Form

This form records a complaint involving a department employee, police officer, or department, with space for the complainant to describe the alleged conduct.

What this form is

Use this form to document a complaint involving a department employee, a police officer, or the department. It asks for complainant and second-party details, the type of complaint, alleged violations, facts, people involved, witnesses, evidence, and a synopsis of the occurrence. The form also includes sections for investigation disposition and action taken, which are designated for completion by the Mayor or Chief of Police.

Who needs it

A person making a complaint about a department employee, the department, or a police officer can use this form to record the details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the complainant signs and dates the form, and it identifies no attachment or related step that is notarized or sworn.

How to submit this form

  1. 1

    Download The Form

    Download the Department Complaint Form PDF.

  2. 2

    Complete The Complaint Details

    Provide the requested complainant, complaint, alleged conduct, witness, evidence, and occurrence information.

  3. 3

    Gather Supporting Information

    Use the form's evidence section to list evidence, including photographs; use more paper for the synopsis if needed.

  4. 4

    Submit To The City

    Submit the completed form to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Department Complaint Form ask for?
It asks for complainant details, complaint type, alleged violations, facts, people involved, witnesses, evidence, and a synopsis of the occurrence. Investigation disposition and action sections are for the Mayor or Chief of Police.
Who can use this complaint form?
A person making a complaint involving a department employee, the department, or a police officer can use the form to record the alleged conduct and supporting details.
Do I need a notary for the Department Complaint Form?
No. The form is signed and dated without a notary, and it does not identify an attachment or related step that is notarized or sworn.
How do I submit the Department Complaint Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Department Complaint Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.