Internal Affairs Accusation Form
Please provide detailed and accurate information regarding your accusation. All fields are required to ensure a thorough review.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Accused Person's Full Name
*
First Name
Last Name
Accused Person's Position/Role
*
Department or Unit Involved
*
Date and Time of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
*
Type of Accusation
*
Please Select
Harassment
Discrimination
Policy Violation
Misconduct
Other
Detailed Description of the Incident
*
Submit Accusation
Should be Empty: