Harrisville, PA · Butler County

No notary required

Police Citizen Complaint Form

Harrisville Borough residents can use this form to submit a police complaint with their contact information and details about the alleged violation.

What this form is

The Police Citizen Complaint Form provides space to describe a complaint involving a possible violation and identify the complainant and any known possible violator. It asks for names, addresses, phone numbers, how the complainant is related to the complaint, the nature of the violation, and the date. The form also includes fields for police use, including receipt, complaint number, status, and date.

Who needs it

A person submitting a citizen complaint to the Harrisville Borough Police can use this form to provide complaint and contact details.

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 form requires no notary; it lists no notarized attachment or sworn step, and asks for a date.

How to submit this form

  1. 1

    Download The Form

    Download the Police Citizen Complaint Form PDF.

  2. 2

    Complete The Complaint Details

    Provide the requested date, names, contact details, relationship to the complaint, and nature of the violation.

  3. 3

    Review The Form

    Check the information you entered. The form does not list any attachments.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Harrisville Police Citizen Complaint Form for?
It provides space to describe the nature of a violation and give contact details for the complainant and any known possible violator.
Who can use this complaint form?
A person submitting a citizen complaint to the Harrisville Borough Police can use it to provide complaint and contact details.
Do I need a notary for the Police Citizen Complaint Form?
No. The form lists no notarized attachment or sworn step and asks for a date.
How do I submit the Police Citizen Complaint Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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