Service Complaint Form

2. YOU HAVE THE RIGHT TO MAKE A COMPLAINT AGAINST A POLICE OFFICER FOR ANY IMPROPER POLICE CONDUCT UNDER WISCONSIN STATE STATUTE § 66.0511(3).  WISCONSIN LAW REQUIRES THIS AGENCY TO HAVE A PROCEDURE TO INVESTIGATE CITIZENS’ COMPLAINTS.   YOU HAVE A RIGHT TO A WRITTEN DESCRIPTION OF THIS PROCEDURE.  THIS AGENCY MAY FIND AFTER INVESTIGATION THAT THERE IS NOT ENOUGH EVIDENCE TO WARRANT ACTION ON YOUR COMPLAINT; EVEN IF THAT IS THE CASE, YOU HAVE THE RIGHT TO MAKE THE COMPLAINT AND HAVE IT INVESTIGATED IF YOU BELIEVE AN OFFICER BEHAVED IMPROPERLY.   CITIZEN COMPLAINTS AND ANY REPORTS OR FINDINGS RELATING TO COMPLAINTS MUST BE RETAINED BY THIS AGENCY FOR AT LEAST SEVEN YEARS.

4. COMPLAINANT NAME*
6. HOME ADDRESS*
8. BIRTHDATE*
   BIRTHDATE
9. PHONE NUMBER*
10. EMAIL ADDRESS*
14. INCIDENT LOCATION*
16. LDPD CASE NUMBER
17. DATE AND TIME OF INCIDENT*
    DATE AND TIME OF INCIDENT

    DATE AND TIME OF INCIDENT
19. LDPD PERSONNEL INVOLVED IN INCIDENT*
21. LIST ANY OTHER WITNESSES
25. INCIDENT DETAILS:*
27. HOW COULD THIS COMPLAINT BE RESOLVED TO YOUR SATISFACTION?*
29. PLEASE INCLUDE ANY DIGITAL EVIDENCE RELATED TO YOUR COMPLAINT
33. I have read and understood the above statement. I hereby certify that the above facts are true and correct. I acknowledge that under Wisconsin State Statute § 946.66, civil action can be brought against me for knowingly filing a false complaint.*

    1. I AGREE
35. TYPE YOUR NAME*
36. DATE AND TIME*
    DATE AND TIME

    DATE AND TIME
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42. 1. Receive an email copy of this form.
43. Email address

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44. Submit

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