Print Form
INDIO POLICE DEPARTMENT
CITIZEN COMPLAINT FORM
Name ___________________________________________________________________________
(First)
(Middle)
(Last)
Residence Address: ________________________________________________________________
Home Phone: _______________ Cell Phone: ________________ Age: __________
Work Phone: _______________ Ext. _____
Work Hours: ________________________________
I want to complain about: Officer(s) Name(s) and/or Badge Number(s) and/or Car Number:
________________________________________________________________________________
________________________________________________________________________________
Date of Incident: __________________________ Time of Incident: __________________________
Location of Incident: ________________________________________________________________
Explain reason for complaint: ________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
(Attach additional sheets, as needed).
_________________________
_____________________________________
Date
Signature
The City of Indio Police Department realizes that we must be responsive to input from citizens of our community. All
personnel of the Indio Police Department encourage citizens to report what they believe to be any acts of police
misconduct. The complaint must be made in good faith, and the Indio Police Department pledges to respond swiftly,
thoroughly, and fairly to bonafide reports of alleged misconduct.
Not all contacts with the police are of an unfavorable nature. The greater majority of contacts involve public assistance,
information, or in some cases, life-saving actions by police employees.
The Indio Police Department constantly seeks ways to improve our service to the community.
We have pledged
ourselves to professional and dedicated police service. To help us maintain this objective, we sincerely appreciate your
comments.
RICHARD P. TWISS
CHIEF OF POLICE