PUBLIC COMPLAINT FORM

  • PUBLIC COMPLAINT FORM

  • COMPLAINANT INFORMATION

  • Format: (000) 000-0000.

  • DETAILS

  • Date of Incident
     / /
  • Date Reported
     / /

  • PHYSICAL EVIDENCE

  • Physical Injury?
  • Medical Treatment
  • Date
     / /
  • Format: (000) 000-0000.
  • Including Photos? If yes, list on page two.
  • Interpreter Required?
  • Date
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Completed by officer receiving complaint:

  • Complaint received by:
  • Photos taken by police? If yes, please complete date, time and officer & badge #
  • Date
     / /
  • Type a question

  • Person information on this form is collected and disclosed under the authority of the Police Services Act (s.57 and/or 58) and will be used for the purpose of investigating the complaint herein.

    Questions?

    Oak Park Police Department

    3857 Harrington Street

    Lyons GA 30436

    912-578-3003

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