Citizen Complaint Form

Citizen Complaint Form

The Mt. Pleasant Police Department strives to fulfill its mission through upholding all laws in an ethical, courteous, impartial and professional manner, while respecting the rights and dignity of all persons. Following this philosophy, the department diligently investigates complaints of misconduct that are filed against members of the department.
The Mt. Pleasant Police Department also recognizes the following groups and/or committees who may serve as a liasion in filing a citizen complaint against the police. They are:

Isabella County Human Rights Committee

http://www.isabellacounty.org/incident-report-form

The Mt. Pleasant Area Diversity Group

http://www.mpdiversity.org/police
Today's Date

MonthDayYear
Date
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Race
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
Home/Cell Phone Number

Area CodePhone Number
E-mail
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone Number

Area CodePhone Number
Date/Time of Occurrence
Location of Occurrence
Witness Name, Address Phone (if known)
Witness Name, Address Phone (if known)
Witness Name, Address Phone (if known)
Witness Name, Address Phone (if known)
Name (s) of officers involved (if known)
Details of Incident: Please relate your complaint. Include names, times, witnesses and any other factual information which is important. If this form is filled out manually, add additional pages as needed.
Physical Evidence: Please list any items available which may assist in this investigation.
Injuries: Please describe any injuries sustained, as well as any medical treatment sought.
This form can be submitted online or printed and turned in to the Director of Public Safety at 804 E. High Street, Mt. Pleasant, MI or to the City Manager's Office at 320 W. Broadway Street, Mt. Pleasant, MI. Citizens who are not satisfied with final disposition of complaint may appeal to the City Manager.
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