Elmira Heights, NY · Chemung County
Police Department Citizen Complaint Form
The Elmira Heights Police Department Citizen Complaint Form lets a person report an incident involving an officer to the department.
What this form is
Use this form to submit a citizen complaint to the Elmira Heights Police Department. It asks for the date and time, the complainant’s name and contact information, incident details, the location, the officer’s name if known, and a brief description of events. The form also includes a notice about penalties for false statements and spaces for signatures and dates.
Who needs it
A person submitting a citizen complaint about an incident involving the Elmira Heights Police Department can use this form.
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 form is signed and dated without a notary; it includes a supervisor-signature line but no notarized attachment or sworn step.
How to submit this form
- 1
Download The Form
Download the Elmira Heights Police Department Citizen Complaint Form PDF.
- 2
Complete The Form
Enter your contact information, incident details, officer name if known, and a brief description of events.
- 3
Sign And Date
Sign and date the form; it also includes a supervisor-signature line.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Elmira Heights Police Department Citizen Complaint Form?
- No. The form has signature and date lines, including a supervisor-signature line, but no notary block or notarized attachment.
- How do I submit the Elmira Heights police complaint form?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the complaint form request?
- It asks for your name and contact details, the incident date, time and location, the officer’s name if known, and a brief description of events.
Need something notarized?
This Police Department Citizen Complaint Form doesn’t need a notary — but if you have another Elmira Heights form that does, a commissioned online notary can help.