Internal Affairs Complaint Intake Form
Internal Affairs Complaint Intake Form
Form to receive and document a citizen or internal complaint against an officer, including allegations, complaint classification, and investigator assignment.
Submission Notice
- Who is submitting this complaint?
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Submit anonymously
Select this if you do not want to provide your name or contact details. If selected, contact fields will be hidden by conditional logic.
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Consent and disclosure acknowledgment
I understand this form collects complaint details for internal affairs review, that information may be used in an investigation, and that I should only provide information relevant to the complaint.
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What happens after I submit
Your submission will be logged, classified, and assigned for review. If contact information is provided, a reviewer may follow up for clarification. Submissions are subject to an audit trail.
Complainant Information
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Complainant full name
Enter your name if you are submitting with identification.
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Email address
Used only for follow-up about this complaint.
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Phone number
Optional contact number for follow-up.
- Preferred contact method
Complaint Details
- Date of incident
- Approximate time of incident
- Location of incident
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Officer name or badge/employee ID
Provide the officer name or identifier if known. Do not include unrelated personal information.
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Complaint summary
Briefly describe what happened, who was involved, and why you are filing the complaint.
- Were there witnesses?
Allegations and Classification
- Allegation categories
- Describe other allegation
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Initial severity assessment
Initial intake classification for routing and review.
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Policy or rule reference
Optional reference to the policy, directive, or standard believed to be violated.
Evidence and Attachments
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Supporting documents
Examples: photos, screenshots, reports, or written statements.
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Video or audio evidence
Upload media files only if they are directly relevant to the complaint.
- Describe the evidence provided
Investigation Routing
- Intake classification
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Assigned investigator
Name or identifier of the investigator assigned to this case.
- Assignment date
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Intake notes
Internal notes for classification, routing, and follow-up actions.
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