City of East Palo Alto - Community Complaint Form

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Community Complaint Form

Penal Code 148.6

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. 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 A 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.

Only use this form to report incidents that occurred in the City of East Palo Alto. If the incident occurred elsewhere, please contact the appropriate agency where the incident occurred.

Please complete as many lines of the report as you possibly can. This will help us investigate the incident that you are reporting and / or screen it for potential investigation. If you only have partial information (like part of a license number, or a person's description), please give us whatever you have!

If you need to report more than one incident, please send us a separate Report Form for each one.

NOTE: If we need additional information to properly file your report, we will ask for this information to be submitted before a report number will be issued, so please fill out the form as completely as possible. Fields with asterisks (*) are MANDATORY - These must be completed for the report to be accepted.

Personal Information:	Please enter all of your personal contact information.
Your FULL Name:
Your Mailing Address:
Your City and Zip Code:
Your Birthdate:
Your Age:
Your Email:
Your Home Telephone:
Your Work Telephone:
Your Drivers Licence #:
Your Drivers License State:
Your Gender:	Male Female
Your Race:	White Black Asian Hispanic Pacific Islander American Indian Other
Victim's Name (If other than yourself):
Victim's Mailing Address (If other than yours):
Location, Time and Date:	Please describe the incident in as much detail as possible.
Address where Incident occurred:	*
Date(s) when incident occurred:	*
Time(s) when incident occurred:	*
Officer(s) involved (Include Badge # if known):	*
Description of Police Uniform and Vehicle:	*
Describe the incident in detail (Tell us what happened) *
Witnesses:
Witness #1 - Name:
Address:
Phone:

Witness #2 - Name:
Address:
Phone:

Witness #3 - Name:
Address:
Phone:
If there was an injured person involved, please complete the following:
Injured Person:
Address:
Type of Injury:
Does complaint involve an arrest?
Case Number:
Name of person arrested:

	Please contact me.

East Palo Alto Police Department
2415 University Avenue, CA 94303
Tel: (650) 853-3160; Fax: (650) 853-3103