Mercersburg, PA · Franklin County
Police Department Complaint Verification
This form lets a person submit a complaint about Mercersburg Police Department personnel and verify the facts in their account.
What this form is
The Mercersburg Police Department Complaint Verification form records a complaint about police personnel and the events related to it. It asks for the complainant’s name and contact information, a detailed incident narrative, and an original signature and date. The instructions say to include relevant dates, times, and witness contact information; a continuation section is provided if more space is needed.
Who needs it
A person filing a complaint about Mercersburg Police Department personnel can use this form to describe the incident and verify their account.
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 signer signs and dates the verification, which is subject to penalties for unsworn falsification to authorities.
How to submit this form
- 1
Download The Form
Download the Police Department Complaint Verification PDF.
- 2
Complete The Complaint Information
Provide your full name, address, contact information, and a detailed account of the incident.
- 3
Add Details Or A Continuation
Include relevant dates, times, and witness contact information; use the continuation section if needed.
- 4
Sign And Date The Form
Provide an original signature and date. If you use the continuation section, sign and date it too.
- 5
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
- Do I need a notary for the Police Department Complaint Verification?
- No. The signer provides an original signature and date without a notary. The verification is subject to penalties for unsworn falsification to authorities.
- How do I submit the Police Department Complaint Verification?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the complaint form ask for?
- It asks for your full name, address and contact information, and a detailed narrative. The instructions also request incident dates, times, and contact information for anyone present.
- What if I need more room to describe the complaint?
- The form provides a continuation section. If you use it, the instructions require an original signature and date on that section as well.