Gardner Police Department Member Complaint Form

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Report a Complaint Against a Member of the Gardner Police Department

This statement of complaint will be submitted to the Gardner Police Department and may be the basis for an investigation. It is a violation of Kansas state law and the Gardner City Code to knowingly make a false report of a crime or false accusation of misconduct against a law enforcement officer. Filing a complaint against a police employee will not lessen or otherwise affect the outcome of any criminal case in which you may be involved.

Your Information

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Your Information

First Name

Last Name

Date of Birth

Address

City

State

Zip Code

Incident Information

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Incident Information

Date of Incident

Time of Incident

Location of Incident

Gardner Police Department Information

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Gardner Police Department Information

Gardner PD Employee Name or Description

Badge Number

Rank

Vehicle Number

Related Cases and Witnesses

Related Cases and Witnesses

Related Citation Number

Related Case Number

Witnesses (name, phone, etc)

If you would like someone from the Gardner Police Department to contact you please provide a phone number and or an email address below.

If you would like someone from the Gardner Police Department to contact you please provide a phone number and or an email address below.

Phone number you may be reached at.ext.

Email address you may be reached at.

Statement of Allegation

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Please enter a detailed statement.

Reporting your legitimate complaint is encouraged by the Gardner Police Department.

If you knowingly make a false report of a crime or other incident to law enforcement authorities, you can be charged with a class A misdemeanor.

Filing a complaint against a police employee will not lessen or otherwise affect the outcome of any criminal case in which you may be involved.

Please read the following statement and indicate your agreement:

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 of a complaint.

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I understand and agree

To receive a copy of your submission, please fill out your email address below and submit.
Email Address