Police Complaint Form

Contact Information
Please note: You are not required to submit any contact information along with your complaint. However, if you do not provide contact information or choose to opt out of having our department contact you regarding your complaint, we will not be able to follow-up with you or update you on the status of your complaint.
May we contact you to follow up on your complaint? * Required
- Yes
- No
What is your preferred method of contact? * Required
- Home Phone
- Cell Phone
- Email
Name
First Last
Date of Birth
Month
Day
Year
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Email
Event Information
Location of Event
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Event
MM slash DD slash YYYY
Time of Event

: Hours

Minutes

AM/PM AM/PM
Case or Incident Number
Officer(s)/Employee(s) Involved
Event Description * Required
Please describe the event/interaction involving the Township of Kalamazoo Police Department and/or its employees about which you would like to complain.

Contact Information