New Berlin, IL · Sangamon County
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
Download The Form
Download the Department Complaint Form PDF.
- 2
Complete The Complaint Details
Provide the requested complainant, complaint, alleged conduct, witness, evidence, and occurrence information.
- 3
Gather Supporting Information
Use the form's evidence section to list evidence, including photographs; use more paper for the synopsis if needed.
- 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.
