Shawnee Hills, OH · Delaware County
Police Citizen Complaint Form
Residents use this form to file a complaint about the police department or its employees and initiate a complaint investigation.
What this form is
This form starts a complaint investigation when someone files a complaint about the police department or its employees. It asks for the complainant’s name, address and contact information, employee names, incident date and time, and a specific narrative; additional sheets may be attached. The complainant signs and dates the form, and department instructions direct staff to forward it to the Patrol Sergeant, with copies to the Chief of Police and Lieutenant.
Who needs it
Anyone filing a complaint about the police department or its employees completes and signs this form to initiate an investigation.
How to submit it
Forward the completed form to the Patrol Sergeant, with a copy to the Chief of Police and Lieutenant, as directed by the department instructions.
About notarization
This document is signed without a notary; the complainant just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Police Citizen Complaint Form PDF.
- 2
Complete the Form
Fill out the requested complainant, employee, incident, and narrative information.
- 3
Gather Attachments
Attach additional sheets if needed to provide a specific narrative.
- 4
Sign and Forward
Sign and date the form, then forward it to the Patrol Sergeant with copies to the Chief of Police and Lieutenant.
Frequently asked questions
- Who can use the Police Citizen Complaint Form?
- Anyone filing a complaint about the police department or its employees can complete this form to initiate a complaint investigation.
- What information does the form ask for?
- It asks for the complainant’s name, address and contact information, employee names, the incident’s date and time, and a specific narrative. Additional sheets may be attached.
- Do I need a notary for the Police Citizen Complaint Form?
- No. This document is signed without a notary; the complainant just signs and dates it.
- How do I submit the Police Citizen Complaint Form?
- Forward the completed form to the Patrol Sergeant, with a copy to the Chief of Police and Lieutenant, as directed by the department instructions.