COMPLAINT FORM

* This form is not intended to be used for reporting a crime. If you want to report a crime, call 911 for emergencies. For all non-emergency matters, call 509-634-2472 or 1-800-551-5800.

* This form will be used to report suspected or alleged officer misconduct involving Colville Tribal Police and/or Colville Tribal Corrections. The term “officer” means any Tribal uniformed Police Officer, Corrections Officer, Criminal Investigator or Law Enforcement radio communication dispatcher.

Complainant's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Incident:

YYYY

Time of Incident

Hour

Minute

Second

Brief description of complaint:

Witness(s) Name(s):

Include phone numbers and address

I understand that this form is not to be used to report a crime, I am utilizing this form to report suspected or alleged officer misconduct.

By checking the box you understand that this form is not to be used to report a crime, and you are utilizing this form to report suspected or alleged officer misconduct.

Yes, I understand that this form is not to be used to report a crime, I am utilizing this form to report suspected or alleged officer misconduct.