Complaint Withdrawal Form

Midlands Technical College Police Department
Addendum BMIDLANDS TECHNICAL COLLEGE POLICE DEPARTMENTINTERNAL AFFAIRSComplaint Withdrawal Form
On
I made a complaint against
It is my intention to withdraw this complaint, and to stop any further investigation into the incident. I am withdrawing this complaint freely and voluntarily. There has been no coercion or promises made to me by any member of the Midlands Technical College Police Department.
Complainant Signature
Date

MesDíaAño
2 digit month, 2 digit day, 4 digit yearFecha
Witness Signature
Date

MesDíaAño
2 digit month, 2 digit day, 4 digit yearFecha
Chief's Signature
Date

MesDíaAño
2 digit month, 2 digit day, 4 digit yearFecha
Form 114 (Rev. 7/23)
Should be Empty:

Midlands Technical College Police Department