University of South Alabama Police Department Commendation/Complaint Form
Submit a commendation or complaint to the University of South Alabama Police Department.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Report
*
Please Select
Commendation
Complaint
Your Name
*
First Name
Last Name
J Number (if applicable)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Local Address (if on-campus)
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Back
Next
Agent Representing Complainant (Unless represented by self)
Name of Agent
First Name
Last Name
Address of Agent
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Agent
Please enter a valid phone number.
Format: (000) 000-0000.
Email of Agent
example@example.com
Back
Next
Event/Incident Information
Event/Incident Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Case Number (if known/applicable)
Location of Event/Incident
*
Officer(s) Involved in Event/Incident
Describe the event or incident
*
By clicking submit, I do solemnly swear that the alleged incident occurred and I am fully aware that filing a false report may be subject to criminal and/or civil penalties under law.
*
I acknowledge and affirm this sworn statement.
Submit
Should be Empty: