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Citizen Complaint Form

  1. YOUR INFORMATION

    Please provide your contact information.

  2. WITNESS INFORMATION

    Please provide contact information for any witnesses.

  3. OFFICER / EMPLOYEE INFORMATION

    Please provide the names of the officer(s) or employee(s) involved.

  4. INCIDENT DETAILS

    Please provide information regarding the incident.

  5. SIGNATURE AND ACKNOWLEDGEMENT

    By signing this form, I acknowledge that the information I’ve provided is true and correct to the best of my knowledge. I understand that it is a criminal offense to make a false statement to a member of the police department, pursuant section 76-8-503 and/or 76-8-504, of the Utah Criminal Code. I understand that digital signatures are considered legal in the State of Utah.

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  7. This field is not part of the form submission.