LEO MISCONDUCT COMMUNITY COMPLAINT FORM
INSTRUCTIONS FOR COMPLETING THIS FORM: Please describe the incident that led to this complaint, telling what happened from beginning to end. Be as clear and specific as you can be. What aspect(s) of the incident was improper (your specific complaint).

Please also view the follow link for more information
HOW TO Fight Back Against LAW ENFORCEMENT Terror in SD COUNTY
http://uaptsd.org/2014/12/25/how-to-fight-back-against-police-terror-in-your-area-psa/

© United Against Police Terror and uaptsd.org
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COMPLAINANT NAME *
ADDRESS
(optional, will remain confidential at all times)
HOME PHONE *
(will remain confidential at all times)
BUS. PHONE
(will remain confidential at all times)
CITY *
 STATE *
ZIP *
DOB *
MM
/
DD
/
YYYY
Gender/ Gender Identity/Gender Expression
(optional to help identify unjust profiling trends by LEO)
Race/Ethnicity
(optional to help identify unjust profiling trends by LEO)
INCIDENT LOCATION: *
INCIDENT DATE *
MM
/
DD
/
YYYY
INCIDENT TIME *
Time
:
INCIDENT TIME DURATION *
Hrs
:
Min
:
Sec
BRANCH OF LEO OFFICERS INVOLVED
Clear selection
Officer(s) Information
 (please include; Names, Race, Badge No. & ID No. Ie. "Officer Smith, White, Badge No.1234, ID No.3456")
INCIDENT DESCRIPTION/COMPLAINT:
WITNESSES
 (please include; Names & relation to complainant Ie. "John Smith, Father"
Do you have video footage, photographs or any other supporting documentation? *
Please email Uaptsd@gmail.com the supporting information
Required
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