St. Louis Park, MN

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Police Conduct Complaint Form

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Please correct the fields below:

Please correct the field(s) marked in red below:

Name

Name

First name

Middle name

Last name

Date of birth

Date of birth

Home address

Home address

Street address

City

State

ZIP code

Phone number

Phone number

Email

I am alleging:

I am alleging:

Excessive force

Harassment

Inappropriate language or attitude

Failure to provide protection

Discrimination

Retaliation

Theft

Other If other, type text here.

Officer information

Officer 1

Officer 1

Officer name

Badge number

Squad number

Officer 2

Officer 2

Officer name

Badge number

Squad number

Incident information

Case number

Case number

Incident date and time

Incident date and time

Date

Time

Incident location/address

Incident location/address

Describe the incident that occurred in detail.

Describe the incident that occurred in detail.

Witness information

Witness 1

Witness 1

Witness name

Address

Phone number

Witness 2

Witness 2

Witness name

Address

Phone number

Please be advised that Minnesota Law (Minn. Stat. § 609.505) makes it a criminal offense to make a knowingly false and defamatory report of police officer misconduct.

By typing your full name below, you are signing and agreeing that the above information you provided is accurate.

Signature

Date

To receive a copy of your submission, please fill out your email address below and submit.
Email Address