UNIVERSITY OF CENTRAL FLORIDA POLICE DEPARTMENT

CITIZEN COMPLAINT/CONCERN FORM AGAINST SWORN/UNSWORN POLICE PERSONNEL

Name:
Address (Local):
Address (Permanent):
Telephone Number(Home):
Telephone Number(Business):
Email Address:
Status:
I wish to make a formal complaint against:
(Name of Police Department Employee)

For the following reason(s):

BASIS FOR COMPLAINT/CONCERN:

Once signed, sworn to in front of a Notary Republic or Police Investigator and submitted this statement becomes part of an official investigation. Any false statements made during an official police investigation shall be considered perjury, which is a felony crime and is punishable under Florida State laws.