City of Peoria Arizona Police Department - Professional Standards Unit

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PSU Home Commendation Complaint Chief's Message

Commendation / Complaint Form

This form can be used to tell our department about any Peoria Police Officer or employee who deserves to be recognized or commended. In addition the form can be used to tell us about any service or contact with a Police Department employee that you felt was less than satisfactory. Please provide as much information as you can, and submit the form when completed. The Professional Standards Unit or employee’s supervisor may contact you for follow-up.

Submitter Information

Email:

First Name:

Initial:

Last Name:

Address:

Apt./Unit/Suite#:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Other Phone:

Gender:

MaleFemale

Date of Birth:

Ethnic Origin:

Incident Information

Incident Date:
Incident Time (AM/PM):
Report Number:
Incident Location:

City of Peoria Employee Information

Employee(s) Involved:
Name and Badge Number:

Witness Information

Witness Name:
Witness Address:
Witness Phone:
Witness 2 Name:
Witness 2 Address:
Witness 2 Phone:

Comments/Description