VMPD Complaint Form

VOMPD - Personnel Complaint Report

This form is provided by the Village of Mamaroneck Police Department for residents to file a formal complaint or commendation regarding department personnel. The information you provide will help ensure that all concerns about officer conduct are reviewed promptly, fairly, and in accordance with department policy.Please provide as much detail as possible. You may be contacted for additional information during the review process. Knowingly providing false information is a violation of law and may result in criminal penalties.
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DATE/TIME REPORTED*

MonthDayYear
Date
Hour MinutesAM/PM Option
Allegations of

Non-DisciplinaryNon-PunitiveUndetermined
Location of Occurence*
Date/Time Occurred*

MonthDayYear
Date
Email of Complainant*
example@example.com

Complaint Details
Complaint Details*

Use the spaces above and below to enter details about the complaint0/200
Complaint Details (cont.)

Confirmation & Signature
By signing below, I hereby affirm that the information provided in this complaint form is true and accurate to the best of my knowledge, recollection, and belief. I understand that providing false, incomplete, or misleading information may affect the investigation of this matter.

Notice: Pursuant to the New York State Penal Law Section 210.45, it is a crime punishable as a Class A Misdemeanor to knowingly make a false statement herein.
Print Name*
Print Name
Signature*

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VOMPD - Personnel Complaint Report