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JPD Citizen Complaint Form

  1. Internal Affairs Case Number:

  2. Witness:


  4. do hereby affirm that the foregoing information is true and complete to the best of my knowledge and belief. I understand that any false, misleading, or untrue statements or writing to any person(s) investigating this complaint, may subject me to civil prosecution by the accused. I further realize that it may become necessary, during the investigation of this complaint, for me to meet with a member(s) of the Jonesboro Police Department to discuss this complaint; either in the presence or absence of the accused department member(s) at the discretion of the department. I hereby accept the premise that if any action is initiated through a court or administrative hearing as a result of my complaint, my testimony before these hearing may be required. I hereby agree to make myself available to aforementioned court or administrative hearing when requested to do so.

  5. Related Incident Report Case # (attach copy):

  6. Receiving Officer’s Signature:

  7. Reviewed by:

  8. Rank:

  9. Leave This Blank:

  10. This field is not part of the form submission.