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. 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.

    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