Chinese (Simplified Han)
Deal Police Department Internal Affairs Report Form
Person Making Report (Optional, But Helpful)
Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
Preferred way of contact email or phone:
Date of birth
Date and and time
In the space below, describe the type if incident (traffic stop, street encounter) and any information about the alleged conduct. If you cannot fir your response below, fell free to use extra pages and attach them to this document. If you do not know the officer's name badge number, provide any other identifying information.
Attach document, any physical evidence.
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How was this reported?
Should be Empty: