Report Misconduct Form

Complainant’s Information

First Name

Last Name

Email

Phone

Address

Age

Date of Birth MM/DD/YYYY

Race

Sex

Name of Alleged Victim of Misconduct

Same as complainant’s information

Same as complainant’s information

First Name

Last Name

Email

Phone

Address

Age

Date of Birth MM/DD/YYYY

Race

Sex

Witness Information

No witness information to share

No witness information to share

Witness Name

Phone

Address

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