2. If you have a complaint, please fill out this form for any member of the Durango Police Department, Sworn or Civilian.
4. COMPLAINANT 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. Incident Number (if assigned)
35. Location of Incident*
37. Witness 1
38. Witness 2
40. Injuries
44. INVOLVED EMPLOYEE(s) if known
46. Name
47. Division/Unit and shift
48. P#
50. Name
51. Division/Unit and shift
52. P#
54. Name
55. Division/Unit and shift
56. P#
60. Additional Details
62. By submitting this form, I hereby state that the information by me in this complaint is true and correct.
Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field