Local Investigative Reporting for the People by the People

Stanislaus County Sheriff and Modesto Police Department Complaint Form

Complete the complaint form and print a copy . A signed copy must be presented to the agency involved.

Name: *

Address:

City:

Phone:

Today's Date:

Name of Witness:

Witness Address:

Witness Phone:

Did you speak to a supervisor about the invident: *

yes

No

Supervisors Name:

Department Involved: *

Location of Incident: *

Date of Incident: *

Time of Incident: *

:

am

pm

Officer Name(s):

Narative:

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