Desert Hot Springs Police Brutality Registry

Desert Hot Springs Police Brutality Registry

Report Police Brutality
Name:*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
All Information Is Confidential And Used By Desert Hot Springs Police Brutality Staff For Official Filings and Reporting. All Names/Likenesses Are Kept Confidential Unless Subpeonaed.
Type Of Brutality Reporting:*
Please Describe The Brutality You Witnessed Or Were A Victim Of:*
Location Of Incident:*
Date Incident Happened:*
Time Of Incident*

Hour Minutes

AM/PM Option
How And Why Did Police Contact The Victim?*
Report/Case Number:*
Agency:*
Images Of Incident And/Or Injuries (If You Want To Share)*

Cancelof
Please verify that you are human*
Should be Empty: