Officer Complaint/Commendation Form

Your First Name (required)

Your Middle Initial (required)

Your Last Name (required)

Address (required)

City (required)

State (required)

ZipCode (required)

Telephone Number (required)

Date of Incident(required)

Location of Incident(Required)

Time of Incident

Description of Incident(required)

Name of Officer

Witnesses

Disclaimer

The above information which I have provided is, to my knowledge, the truth. I understand that it is a violation of 720 ILCS 5/26-1(a)(4) of the Illinois Compiled Statutes to willfully make a false report. In the event the report is proven false, I understand that the information may be provided to the State's Attorney's Office for possible criminal prosecution.

I agree that I have read and agree to the disclaimer

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