Citizen's Complaint/Compliment Form

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Police Department

Phone: 864-388-8222 Fax: 388-8118

302 Hampton Avenue, Greenwood SC 29646

Citizen Compliment/Complaint Form

First Name:

Last Name:

Home/Mobile Phone:

Work Phone:

Email:

Date of Compliment/Complaint:

Address:

Date/Time of Occurrence:

Location of Occurrence:

Driver's License #:

State:

SS#:

Names and badges of Police Officer(s) involved, if known:

Police Officer 1

Badge Number

Police Officer 2

Badge Number

Police Officer 3

Badge Number

Police Officer 4

Badge Number

DETAILS - Please relate your compliment/complaint including name, times, locations, witnesses and any other factual supporting information:

Attach any additional documentation:

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