Complaint Form

In order to maintain public trust and confidence it is absolutely necessary that our conduct meet the highest ethical standards of the law enforcement profession. It shall therefore be the policy of the Palo Alto Police Department to openly encourage any person with a complaint regarding service levels or the actions of our employees to bring that complaint to the attention of the Department. It shall further be the policy of the Department that such complaints shall be received in a courteous and professional manner, appropriately documented and promptly investigated. No member of the Department will discourage any person from expressing a complaint against the Department or its personnel, nor will any member of the Department commit any act of retribution against a person for bringing forth a complaint.

Please feel free either to call, write, or use the form below to let us know if you have received unsatisfactory service from any of our employees.

Note: You can use this form to list the names of up to four (4) Police Department employees. Please submit any additional names by using a fresh copy of the form.

 

 
First employee's information    

Employee's Name

Employee's ID Number

Place an "X" in this box if the Employee's Name/ID Number is unknown:

Police Officer

 
Community Services Officer
Dispatcher
Records Specialist
Parking Enforcement Officer
Other:
   
Second employee's information    

Employee's Name

Employee's ID Number

Place an "X" in this box if the Employee's Name/ID Number is unknown:

Police Officer

 
Community Services Officer
Dispatcher
Records Specialist
Parking Enforcement Officer
Other:
   
Third employee's information    

Employee's Name

Employee's ID Number

Place an "X" in this box if the Employee's Name/ID Number is unknown:

Police Officer

 
Community Services Officer
Dispatcher
Records Specialist
Parking Enforcement Officer
Other:
   
Fourth employee's information    

Employee's Name

Employee's ID Number

Place an "X" in this box if the Employee's Name/ID Number is unknown:

Police Officer

 
Community Services Officer
Dispatcher
Records Specialist
Parking Enforcement Officer
Other:
   
What is the nature of your complaint?
REQUIRED
Location where the Incident occurred
REQUIRED
Date when incident occurred

If you are unsure of exactly when the incident occurred, please list the dates which the incident occurred between (Example: 08/01/07 to 8/11/07)
REQUIRED
Time of Incident

If you are unsure of exactly when the incident occurred, please list the times which the incident occurred between (Example: 8:00am - 5:00pm)
REQUIRED
What are the details of your complaint?
REQUIRED
     

Who is making the Complaint?
We would like to be able to know and contact the person who is making the complaint about one of our employees. However, you may remain anonymous, but this may inhibit our ability to investigate the complaint.

Your First Name
 
Your Last Name
 
Your Mailing Address
 
Your Address 2
(Apt. No., Suite)
City
State
Zip
 
Your Phone
 
Your Email
(For your submission receipt)
REQUIRED
   

 

 



 
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