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Citizen's Complaint Form
University of California Police Department, Berkeley
Incident Date: ___________ Time: ____________
Location: ________________________________
Allegations (list): ____________________________________________________
__________________________________________________________________
You have the right to make a complaint against a police
officer for any improper police conduct. California law requires
this agency to have a procedure to investigate citizens' complaints.
You have a right to a written description of this procedure.
This agency may find after investigation that there is not enough
evidence to warrant action on your complaint; even if that is
the case, you have the right to make the complaint and have it
investigated if you believe an officer behaved improperly. Citizen
complaints and any reports or findings relating to complaints
must be retained by this agency for at least five years.
It is against the law to make a complaint that you know
to be false. If you make a complaint against an officer knowing
that it is false, you can be prosecuted on a misdemeanor charge
(§148.6 PC).
I have read and understood the above statement. I understand
that I am making a formal complaint, that an investigator will
be assigned and that I will be contacted and interviewed. I agree
to cooperate fully with the investigation. I understand that
if I do not return this form as instructed this complaint will
be closed.
I hereby certify that, to the best of my knowledge, the
statements herein are true.
________________________________________ _____________
Signature of Complainant .......................................
Date
Name (Print): ____________________________________________________
Address: ________________________________________________________
________________________________________________________________
Day Phone: (_____)_______________ Night Phone: (_____)_______________
Witnesses and Other People Involved:
Name (Print): ________________________
Address: ____________________________
___________________________________
Phone: (_____)_______________________
Name (Print): ________________________
Address: ____________________________
___________________________________
Phone: (_____)_______________________
Note: Complaint must be filed within thirty (30) days of the
incident.
See Complaint Process Guide for more information and exceptions
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