Citizen's Report Form | Tracy Police Department

Name

Email

Address

Home Phone

Work Phone

Cell Phone

Date Form Submitted

Date of Incident/Action

Time of Incident/Action

Location Where Incident Or Action Occurred

Witness Information

Witness 1 Name

Witness 1 Phone

Witness 1 Address

City

State/Province

Zip/Postal

Witness 2 Name

Witness 2 Phone

Witness 2 Address

City

State/Province

Zip/Postal

Witness 3 Name

Witness 3 Phone

Witness 3 Address

City

State/Province

Zip/Postal

Complaint Or Comment Details

(If a police vehicle was involved, list name and vehicle number, if known.)

Details

Does Your Complaint Allege Racial Or Identity Profiling/If So, What Type?

(Check one or more that apply)

Check all that apply

California Penal Code §13012(a)

You have the right to make a complaint against a police officer for any improper police conduct. California law requires this agency to have a procedure to investigate civilians' complaints. You have a right to a written description of this procedure. This agency may find after the 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 your believe an officer behaved improperly. Civilian complaints and any reports or findings relating to complaints must be retained by this agency for at least five years.

It is against the law to make a complaint that you know to be false. If you make a complaint against an officer knowing that it is false, you can be prosecuted on a misdemeanor charge.

I have read and understand the above statement.

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