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CITIZEN COMPLAINT

The Brunswick County Sheriff's Office will investigate reasonable allegations of misconduct by any employee of the department upon receipt of this form. It is the intention of this office to insure that all employees conduct themselves in an appropriate, professional, and courteous manner at all times.

Upon receipt of this form, your complaint will be investigated. You may be contacted and asked for additional information about your complaint. If the investigation of your complaint proves to take an extended time. you will receives a letter informing you of an approximate time you may expect to hear a response. After your complaint has been investigated, it will be reviewed by the Sheriff who will notify you that the investigation has been completed.

Complainant Information

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Witness Information

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Nature of Complaint

Exact Location of Incident

Date of Incident

-- mm/dd/yy

Time of Incident:

-- hh:mm:ss am/pm

Officer


Agreement
By submitting this form, I affirm that the information provided is true to the best of my knowledge. I understand that any false, misleading, or untrue statements , accusations, or allegations herein made by me, in relation to this complaint, may subject me to civil suit or prosecution.