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Mesa Police Department
Internal Affairs Complaint Form
 

Police Home | Internal Affairs Home

The Mesa Police Department is dedicated to protecting the rights of all citizens and we carefully investigate all complaints relating to police service and/or police misconduct. Our mission is to provide quality police service, and you can assist us in accomplishing this goal when you contact us regarding what you consider to be improper police conduct. We value your opinion and thank you for bringing this to our attention.

Please provide as much information as you can and submit the form when completed. Internal Affairs or the employee's supervisor may contact you during the process of their investigation.

Information about you:
Last Name:
First Name:
Middle Initial:
Home Phone: enter like 000-000-0000
Work Phone: enter like 000-000-0000
Other Phone: enter like 000-000-0000
E-mail Address:
Date of Birth: enter like mm/dd/yyyy
Gender: Male     Female
Address:
Apt, Suite or Unit Number:
City:
State:
Zip:
    
Information about the incident:
Date of Incident:   enter like mm/dd/yyyy
Time of Incident:    AM     PM
Report Number:
If you know of a report number that is related, please enter it.
Location of Incident:
Please enter the location of this incident.
   
Information about the Police Department Officer(s) or employee(s) involved:
Name and ID#:
If you know the officer/employee's name and ID number, please enter it here.
Name and ID#:

 


If there are more police personnel involved, please indicate that information in the Incident Details field below.
   
Information about witnesses:
Witness Name:
Witness Address:
Witness Phone: enter like 000-000-0000
Witness Name:
Witness Address:
Witness Phone: enter like 000-000-0000
   
Please tell us about the incident:
Incident Details:

 

 


 

Upon submittal of this form, it can be considered public record.