Maybrook, NY · Orange County

No notary required

Citizen Complaint Form

The Citizen Complaint Form lets a person report an incident or concern to the Village of Maybrook Department of Police Services.

What this form is

This form records a citizen complaint for the Village of Maybrook Department of Police Services. The complainant provides contact and identifying information, any known officer details, incident date, time and location, witness information, and a description of the complaint; the form says to complete it with as many details as possible and return it to the Chief of Police.

Who needs it

A person making a complaint to the Village of Maybrook Department of Police Services should complete and return this form.

How to submit it

Return the completed form to the Chief of Police at the Department of Police Services, 111 Schipps Lane, Maybrook, NY 12543.

About notarization

This form is signed and dated without a notary; it contains no sworn attachment or related notarized step.

How to submit this form

  1. 1

    Download The Form

    Download the Citizen Complaint Form PDF.

  2. 2

    Complete The Form

    Provide your information and describe the incident and complaint with as many details as possible.

  3. 3

    Add Witness Information

    Include available information for witnesses and any officers involved.

  4. 4

    Sign And Submit

    Sign and date the form, then return it to the Chief of Police at the address listed.

Frequently asked questions

Do I need a notary for the Citizen Complaint Form?
No. The form asks the complainant to sign and date it, but does not require a notary or identify any sworn attachment.
How do I submit the Citizen Complaint Form?
Return the completed form to the Chief of Police at the Department of Police Services, 111 Schipps Lane, Maybrook, NY 12543.
What information does the complaint form ask for?
It asks for complainant contact details, known officer information, incident details, witness information, and a description of the complaint.

Need something notarized?

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