Police Body Camera Civilian Complaint Survey Form
Please use this form to report and evaluate your recent interaction with police involving body camera usage. Your feedback helps us improve accountability and service.
Date of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Incident
*
Officer Name or Badge Number (if known)
Were police body cameras visibly in use during the interaction?
*
Yes
No
Not sure
Did the officer inform you that the interaction was being recorded?
*
Yes
No
Not sure
How would you rate the officer's professionalism?
*
1
2
3
4
5
How would you rate the officer's communication skills?
*
1
2
3
4
5
Did you feel the body camera presence affected the officer's behavior?
*
Yes, positively
Yes, negatively
No noticeable effect
Not sure
Briefly describe the incident and your concerns
*
What improvements or follow-up would you like to see?
Submit Complaint
Should be Empty: