Safe Stop Complaint Form

Internal Affairs Complaint Form

New Jersey Office of the Attorney General
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time

:HourMinutesAM/PM Option
Have you already filed a complaint with a local police department?
Agree to proceed:
Name of officer and/or police department about which you are filing a complaint:
State your complaint (Please provide as much detail as possible):
**Name of person filing complaint:

First NameLast Name
**Email:

Confirmation Emailexample@example.com
**Phone:

Area CodePhone Number
**Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
**NOTE: You may file anonymously but having your contact information will assist the investigation.
Should be Empty:

Internal Affairs Complaint Form