Police Discipline Report Form
Use this form to report police discipline incidents. Please provide as much detail as possible to assist with the review process.
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 or Description)
*
Type of Incident
*
Please Select
Use of Force
Improper Conduct
Neglect of Duty
Harassment
Other
Officer Name(s) Involved (if known)
Officer Badge Number(s) (if known)
Reporting Party Name
*
First Name
Last Name
Reporting Party Email
*
example@example.com
Reporting Party Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please describe the incident in detail
*
Attach any relevant files or evidence (optional)
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