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Citizens' Commendations or Complaint

Please fill in all pertinent information.

Citizen's Information
     
E-mail Address:
     
Citizen's Name:
     
Address:
    
Home Phone:
      
Alternate Phone:

         

Commendation/Complaint Information
     
Choose one: Commendation       Complaint
      
Incident Date: (mm/dd/yy)
      
Incident Time: (hh:mm)
     
Incident Location:
     
Case Number (if known):
     
Officer's Name or Description:    
      
2nd Officer:  (if applicable)
      
3rd Officer:  (if applicable)
     
Describe Basis for Commendation or Complaint:    
      
Witness Name:
     
Witness Address:
      
Witness Phone:
      

 


 

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Eugenio Marķa de Hostos Community College  ·  500 Grand Concourse, Bronx, New York 10451  ·  Phone (718) 518-4444
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