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2. Civilian Complaint Form

   The Citrus Heights Police Department welcomes justified complaints concerning the actions of our employees. As your Chief of Police, I want to assure you that this Department wishes to provide you the best law enforcement service possible.
   
   SUMMARY OF COMPLAINT PROCEDURE
   
   Every person has an absolute right to file a complaint. Your reluctance to prepare a complaint form shall not impair that right. If you do not wish to complete the form, or sign it, it shall be completed by the Watch Commander with whom the complaint is lodged. It is desirable that you come to the Police Department where your complaint can be received during a personal interview. However, complaints can be made by mail or by telephone, and may be made anonymously.
   
   If the complaint is made by either telephone or mail, a copy of the complaint will be mailed to you if an address is provided. An investigator will contact all witnesses, examine any relevant physical evidence, and gather all information associated with each charge made in the complaint. After completion of the investigation, a disposition for each charge shall be made, based on each alleged act of misconduct.
   
   The final disposition of your complaint will be made by the Chief of Police. Departmental procedure allows thirty (30) days for completion of an investigation into a Civilian’s complaint. An extension may be granted by the Chief of Police, if necessary. You will be notified of the extension and the reasons for that extension. You will be notified by mail of the disposition of the complaint.
   
   Thank you for bringing this matter to our attention. Every report will receive my personal attention.
   
   Sincerely,
   
   Alexander A. Turcotte, Chief of Police

4. Incident Number
5. Date and Time of Incident
   Date and Time of Incident

   Date and Time of Incident
7. Location of Incident
9. Street Number
10. Street Name
11. Street Type
12. Apt #
14. City
15. State
16. Zip
20. REPORTING PARTY INFORMATION
22. First Name
23. Last Name
25. Street Number
26. Street Name
27. Street Type
28. Apt #
30. City
31. State
32. Zip
34. Home Phone Number
35. Cell Phone Number
37. Date of Birth
    Date of Birth
38. Email Address
39. Driver's License Number
43. Victim of Misconduct (if different from above)
45. First Name
46. Last Name
48. Street Number
49. Street Name
50. Street Type
51. Apt #
53. City
54. State
55. Zip
57. Home Phone Number
58. Cell Phone Number
62. Witnesses
64. First Name
65. Last Name
67. Street Number
68. Street Name
69. Street Type
70. Apt #
72. City
73. State
74. Zip
76. Home Phone Number
77. Cell Phone Number
79. First Name
80. Last Name
82. Street Number
83. Street Name
84. Street Type
85. Apt #
87. City
88. State
89. Zip
91. Home Phone Number
92. Cell Phone Number
96. Department Member(s) Complained of
98. First Name
99. Last Name
101. Car Number (if known)
102. Badge Number (if known)
104. First Name
105. Last Name
107. Car Number (if known)
108. Badge Number (if known)
112. Give a brief description of the events that led to this complaint.
114. CIVILIAN COMPLAINT ADVISEMENT (PENAL CODE SECTION 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. 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.

     I have read and understood the above statement.

     Complainant

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116. 1. Receive an email copy of this form.
117. Email address

     This field is not part of the form submission.

118. Submit Submit and Print

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