Citizen Complaint Form

Citizen Complaint Form

Fort Dodge Police Department
Thank you for sharing your concerns. We value input from our community members, as it helps us improve services and address issues. To ensure accuracy and accountability, the complaint must be filed by the individual who directly experienced the alleged incident or concern. We ask that all complaints be based on verifiable facts. Repeated unfounded complaints may result in the suspension of your ability to file further citizen complaints. We appreciate your understanding in maintaining the integrity of the process.

PURPOSE OF THE FORM

This form is only for submitting concerns or complaints regarding the conduct or actions of a Fort Dodge Police Department officer while performing official duties.

🚫 This form is NOT be used to report concerns, complaints, or suspicions about residents, neighbors, or other members of the public. Reports involving residents or active situations must be made directly to a Fort Dodge police officer by calling non-emergency or 911, as appropriate. Submissions that do not involve an FDPD officer may not be reviewed or responded to.

Complainant's Information
Complainant's Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Phone Type
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Incident Information
Date/Time of Incident*

MonthDayYear
Date
Hour MinutesAM/PM Option
At least one piece of information must be completed for each officer involved.
Name of Officer Involved (1)*

First NameLast Name
Badge Number (1)*
Car Number (1)*
Was there another officer involved?

YesNo
Name of Officer Involved (2)*

First NameLast Name
Badge Number (2)*
Car Number (2)*
Was there another officer involved?

YesNo
Name of Officer Involved (3)

First NameLast Name
Badge Number (3)*
Car Number (3)*
Summary of the Incident or Allegations
Supporting Documentation

File types allowed: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
Cancelof

Witness Information
Is there a witness to the incident?*

YesNo
Witness Contact Information

First NameLast Name
Phone Number*
Please enter a valid phone number.
Phone Type
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there an additional witness?

YesNo
Witness Contact Information

First NameLast Name
Phone Number*
Please enter a valid phone number.
Phone Type
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there an additional witness?

YesNo
Witness Contact Information

First NameLast Name
Phone Number*
Please enter a valid phone number.
Phone Type
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Certification and Acknowledgement
By providing my signature below, I affirm that the information and facts I have provided in this complaint are complete, accurate, and truthful to the best of my knowledge.
Print Name*

First NameLast Name
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: