Citizen Complaint Form

Goldsboro Police Department Citizen Complaint Form

Citizens filing complaints shall receive a written notification of the investigative findings. If you do not provide contact information we will be unable to provide you with the outcome of the investigation.

Complainant Name
First Last
Complainant Address
Street Address Address Line 2 City State ZIP Code
Email
Complainant Home Phone
Complainant Work/Cell Phone
Date of Incident
MM slash DD slash YYYY
Time of Incident

: Hours

Minutes

AM/PM
Location of Incident
Officer(s) Involved
Witness(es)
Enter the Witness(es) name, address and phone #.
Describe Incident*
By checking this box swear that the information contained in this form (and any attachments) are true. I further understand that if the investigation proves these allegations to be false, I may be liable to both criminal and civil prosecution. I also understand that I may be asked to submit to a polygraph examination as part of the investigation.*
- I Agree
Phone
This field is for validation purposes and should be left unchanged.

Goldsboro Police Department

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Citizen Complaint Form

Goldsboro Police Department Citizen Complaint Form