NCCU Police Department Commendation/Complaint Form

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NCCU Police Department Commendation/Complaint Form

This form allows for the submission of a comment for superior service or a complaint against a law enforcement employee with the NCCU Police Department. Completion of this form notifies the department of the issue for review.

Type of Report

Location on Campus

Date of Incident

Time of Incident

Location off Campus* (designate the nearest location if it occurred outside of a campus building)

Please describe in detail your commendation or complaint

Officer(s)/NCCU Police Department Staff Member(s) Involved

List other witnesses, their phone numbers or descriptions (if applicable):

NCCU Police Department OCA/Report Number (if applicable)

First Name

Last Name

Phone Number

Home Address

City

State

Zip

I affirm that the information provided in this statement is true and factual to the best of my knowledge. I understand that it may be necessary for me to be interviewed or to provide other assistance during the investigation.

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