File A Complaint (University Police Department)
All formal complaints are forwarded to the Assistant Chief of Police for assignment of investigation.
Sign in to Google to save your progress. Learn more
Complainant Name *
Complainant Address *
Complainant Cell Phone Number *
Complainant Home Phone Number
Complainant Email Address *
Date and time of incident *
Location of incident *
Witness Information (provide name, phone number, email, and address for each witness) *
Officer Information (provide name, rank/title, badge number, car number, and/or physical description for each officer) *
Statement of Allegation *
Attestation *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of State University College at Geneseo.

Does this form look suspicious? Report