Middleport, NY · Niagara County

No notary required

Police Civilian Complaint Form

The Middleport Police Department’s civilian complaint form lets a person report allegations against a Village of Middleport police officer.

What this form is

Use this form to make a civilian personnel complaint alleging conduct by a person employed by the Village of Middleport as a police officer. It asks for the complainant’s name, date of birth, residence, allegations, and narrative, then includes a verification warning about knowingly making a false statement and an affirmation under penalty of perjury.

Who needs it

A person making allegations against someone employed by the Village of Middleport as a police officer can use this civilian complaint 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 document is signed without a notary; the complainant signs and dates the affirmation under penalty of perjury.

How to submit this form

  1. 1

    Download The Form

    Download the Middleport Police Department Civilian Complaint Form PDF.

  2. 2

    Complete The Complaint

    Enter your name, date of birth, residence, allegations, and narrative.

  3. 3

    Review The Verification

    Read the false-statement warning and affirmation under penalty of perjury.

  4. 4

    Sign And Submit

    Sign and date the form, then submit it to the city department named on the form.

Frequently asked questions

What is the Middleport Police Department Civilian Complaint Form?
It is a form for making allegations against someone employed by the Village of Middleport as a police officer. It requests the complainant’s details, allegations, and narrative.
Who can use this complaint form?
A person making allegations against a Village of Middleport police officer can use the form to provide their information, describe the allegations, and affirm the report.
Do I need a notary for the Police Civilian Complaint Form?
No. The form has no notary block; the complainant signs and dates the affirmation under penalty of perjury.
How do I submit the Police Civilian Complaint Form?
Submit it to the city department named on the form; check the city website for current contact details. The form itself does not provide submission instructions.

Need something notarized?

This Police Civilian Complaint Form doesn’t need a notary — but if you have another Middleport form that does, a commissioned online notary can help.