Highway Patrol Complaint Form
Report concerns or incidents involving highway patrol officers. Please provide as much detail as possible to assist our review.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Incident Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Incident Location (address, highway, mile marker, or nearest exit)
*
Patrol Unit or Officer Description (badge number, vehicle number, physical description, etc.)
Complaint Category
*
Rude or Unprofessional Conduct
Excessive Force
Discrimination or Bias
Improper Search or Seizure
Failure to Provide Assistance
Other
Detailed Description of the Incident
*
Were there any witnesses?
*
Yes
No
Witness Information (names, contact details, if available)
Upload Supporting Evidence (photos, videos, documents)
Upload a File
Drag and drop files here
Choose a file
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of
Preferred Method of Follow-Up
*
Email
Phone
No follow-up needed
Additional Comments or Information
Submit Complaint
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