Police Department Personnel Complaint Form

2. If you have a complaint, please fill out this form for any member of the Durango Police Department, Sworn or Civilian.

   If you have a complaint, please fill out this form for any member of the Durango Police Department, Sworn or Civilian.

4. COMPLAINTANT INFORMATION

6. First Name*

7. Last Name*

9. Middle Name

10. DOB

11. Race

12. Sex

14. Address1*

16. Address2

18. City*

19. State*

20. Zip*

22. Phone Number*

23. Email*

27. BRIEF DESCRIPTION OF INCIDENT

29. Date and Time of Incident*

31. Date and Time Reported*

33. Location of Incident*

35. Witness 1

36. Witness 2

38. Injuries

42. INVOLVED EMPLOYEE(s) if known

44. Name

45. Division/Unit and shift

46. ID#

48. Name

49. Division/Unit and shift

50. ID#

52. Name

53. Division/Unit and shift

54. ID#

58. Additional Details

60. By submitting this form, I hereby state that the information by me in this complaint is true and correct. I understand that if investigation reveals that I have knowingly provided false or misleading information, I may be subject to criminal charges under Municipal Code 17-32 or C.R.S 18-8-111.

    By submitting this form, I hereby state that the information by me in this complaint is true and correct. I understand that if investigation reveals that I have knowingly provided false or misleading information, I may be subject to criminal charges under Municipal Code 17-32 or C.R.S 18-8-111.

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62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field