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BRISTOL POLICE DEPARTMENT

Complaint Against An Officer Report

This form is not for routine complaints.

If you have a complaint, please call dispatch at (860) 584-3011.

Date & Time of Incident

Date Picker

Date & Time Reported

Date Picker

Location of Incident

    Complainant's Name

    Complainant's Address

      Complainant's Date of Birth

      Witness's Name

      Witness's Address

        To your knowledge, was the incident recorded via audio or video?

        Are you afraid for your safety, or that of any other person, for any reason as a result of making this complaint?

        Has anyone threatened or tried to intimidate you in an effort to prevent you from making this complaint?

        Are you able to read, write, and speak the English language?

        If you are unable to read, write, or speak English, have you been provided with adequate language assistance to help you understand and fill out this form?

        Please attach supporting documentation if appropriate (Letters, Emails, Photographs, Videos and/ or Audio Recordings etc.)

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        I have, or had read to me, the above and attached complaint and statement. All of the answers are true and accurate to the best of my knowledge, information, and belief.

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        Date and Time Signed

        Date Picker
        Be sure to verify that you are not a robot by using the Captcha tool at the below.
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        By clicking this checkbox I am acknowledging that this form is strictly intended to be used for the purpose of filing an official complaint against a police officer of the Bristol, Connecticut Police Department, and not to be used for routine complaints.