Livingston, NY · Columbia County

No notary required

Procedure and Complaint Form Against the Sheriff's Office

This form lets people file a complaint about the Sheriff's Office with the Columbia County Citizen's Review Panel.

What this form is

Use this form to submit a complaint about the Sheriff's Office to the Columbia County Citizen's Review Panel. The instructions ask you to complete it in as much detail as possible and submit it with the signed complainant affirmation. The form asks for your contact information, incident date, time and location, the subject of the incident, complaint type, and a summary; attach a separate sheet if you need more space.

Who needs it

Anyone filing a complaint about the Sheriff's Office with the Columbia County Citizen's Review Panel must complete and sign this form.

How to submit it

Submit the original completed form in a sealed envelope marked confidential to the Columbia County Clerk of the Board, c/o Citizen's Review Panel, 401 State Street, Hudson, NY 12534.

About notarization

This document is signed without a notary; the complainant must sign and date the affirmation stating the information is true and complete under penalty of perjury.

How to submit this form

  1. 1

    Download The Form

    Download the Sheriff's Office complaint form and its filing instructions.

  2. 2

    Complete The Form

    Provide your contact information, incident details, complaint type, and summary.

  3. 3

    Sign The Affirmation

    Read, sign, and date the complainant affirmation.

  4. 4

    Attach Extra Details

    If more space is needed, continue on a separate sheet of paper and attach it.

  5. 5

    Submit To The Panel

    Send the original in a sealed envelope marked confidential to the Columbia County Clerk of the Board, c/o Citizen's Review Panel, at the listed Hudson address.

Frequently asked questions

Do I need a notary for the Sheriff's Office complaint form?
No. The document has no notary block; the complainant signs and dates an affirmation stating the information is true and complete under penalty of perjury.
How do I submit the Sheriff's Office complaint form?
Send the original completed form in a sealed envelope marked confidential to the Columbia County Clerk of the Board, c/o Citizen's Review Panel, 401 State Street, Hudson, NY 12534.
What information does the complaint form ask for?
It asks for your name and contact information, incident date, time and location, the subject of the incident, complaint type, and a summary.
Can I include more details than fit on the form?
Yes. The form says to continue on a separate sheet of paper and attach it if more space is needed.

Need something notarized?

This Procedure and Complaint Form Against the Sheriff's Office doesn’t need a notary — but if you have another Livingston form that does, a commissioned online notary can help.