Albany, WI · Green County

Statement of Charges Against Police Department Employee

This form lets an aggrieved person submit written charges alleging misconduct by a Village of Albany Police Department employee to the Albany Police Disciplinary Committee.

Detailed form~25 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The form collects the charging party’s information, incident details, allegations, desired outcome, and witness information. The village guide says charges must be completed on this form, signed under oath before a notary, and filed within 60 days of the incident; the charging party must also serve a copy and file proof of service within 10 days after filing. Read the PDC Rules and Procedures before submitting.

Who needs it

A person personally injured or wronged by alleged misconduct of a Village of Albany Police Department employee may use this form to file charges.

Why it needs a notary

The form includes a Wisconsin jurat stating the charging party swears or affirms the information; the charging party signs before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Statement of Charges form from the Village of Albany or the Village Clerk.

  2. 2

    Complete the Form

    Fill in the charging party, incident, employee, witness, allegation, and desired-outcome details.

  3. 3

    Book an Online Notary

    Arrange an online notarization for the charging party’s sworn or affirmed statement.

  4. 4

    Sign on Video

    Sign the statement in the online notary session so the notary can complete the jurat.

  5. 5

    Submit to the Village

    Mail or deliver the charges to the Albany Police Disciplinary Committee and follow the form guide’s service and proof-of-service instructions.

Preview the form

The blank PDF straight from Albany. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I file charges against an Albany police employee?
Complete the Statement of Charges, sign it under oath before a notary, and mail or deliver it to the Albany Police Disciplinary Committee. The form guide also describes service and proof-of-service deadlines.
Do I need to sign this form before a notary?
Yes. The village guide requires the written charges to be signed under oath before a notary, and the form includes a jurat for the charging party’s signature.
Can I sign the form with an online notary?
Wisconsin law authorizes remote online notarization by a commissioned online notary under Wis. Stat. §140.145. Confirm with the city or village if unsure whether it will accept the remotely notarized form.
How soon must I file the charges and proof of service?
The village guide says to file charges within 60 days following the incident. Proof of service must be filed within 10 days after the charges are filed.

Ready to notarize your Statement of Charges Against Police Department Employee?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.