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File A Complaint (University Police Department)
All formal complaints are forwarded to the Assistant Chief of Police for assignment of investigation.
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Complainant Name
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Complainant Address
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Complainant Cell Phone Number
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Complainant Home Phone Number
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Complainant Email Address
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Your answer
Date and time of incident
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Location of incident
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Witness Information (provide name, phone number, email, and address for each witness)
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Officer Information (provide name, rank/title, badge number, car number, and/or physical description for each officer)
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Statement of Allegation
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Attestation
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I certify that I have made this statement of my own free will and I attest to the accuracy of the facts.
I understand that false statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State penal law.
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