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2. 
4. Your comments will be forwarded through the employee's chain of command and be reviewed by the Office of the Chief of Police. After the review, a copy of your comments will be placed in the employee's personnel file.
6. First Name
7. Last Name
9. Address1
10. City
12. State
    -- Select One --ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
13. Zip
14. Email Address
16. Date/Time of Incident
    Date/Time of Incident

    Date/Time of Incident
17. Location of Incident
19. Report or Incident #
20. Citation #
22. Involved Employee
23. Badge #
24. How Involved?
26. Involved Employee
27. Badge #
28. How Involved
30. Comments
    Please use this space to document any additional information regarding this incident
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field