Schoharie, NY · Schoharie County

No notary required

Police Complaint Form

Schoharie Village residents can use this form to file a formal or informal complaint about a Schoharie Village Police Department employee.

What this form is

Use this form to report a complaint or concern about a Schoharie Village Police Department employee. It distinguishes formal complaints, which may be officially investigated and result in discipline, from informal complaints, which are discussed with the employee but not formally investigated. The form asks for your contact information, incident details, the employee’s name, and a statement of facts.

Who needs it

Anyone wishing to file a formal or informal complaint about a Schoharie Village Police Department employee can complete this form.

How to submit it

Complete the form and return it to Lieutenant Jason Temple, Schoharie Village Police Department, PO Box 219, Schoharie, NY 12157.

About notarization

This document is signed without a notary; the signer affirms the statement under penalty of perjury and signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Schoharie Village Police Department Complaint Form.

  2. 2

    Complete The Form

    Select formal or informal complaint and fill in your contact details and information about the incident.

  3. 3

    Write Your Statement

    Describe the employee’s actions in detail, then sign and date the form.

  4. 4

    Mail The Form

    Return it to Lieutenant Jason Temple, Schoharie Village Police Department, PO Box 219, Schoharie, NY 12157.

Frequently asked questions

Do I need a notary for the Police Complaint Form?
No. The form does not require a notary; the signer affirms the statement under penalty of perjury and signs and dates it.
How do I submit the Police Complaint Form?
Complete the form and return it to Lieutenant Jason Temple at Schoharie Village Police Department, PO Box 219, Schoharie, NY 12157.
What information does the complaint form ask for?
It asks for your contact information, incident location, date and time, the employee’s name, the nature of the action, and a detailed statement of facts.

Need something notarized?

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