Chautauqua County Sheriff''s Office

help@sheriff.us

15 E. Chautauqua Street, Mayville, NY, 14757, US

OFFICE OF THE SHERIFF

CHAUTAUQUA COUNTY

PERSONNEL COMPLAINT FORM

COMPLAINTANT INFORMATION

Name

Address

Address or Location

Phone Number

OFFICER INFORMATION:

Department

Name(s)

COMPLAINT DETAILS:

How were you involved in this complaint?

I was directly involved in the interaction with Law Enforcement

I witnessed the interaction with Law Enforcement

Date and Time of incident

Location of incident

What type of misconduct are you reporting?

Abuse of Authority

Conflict of Interest

Corruption

Criminal Activity

Discrimination/Bias

Use of Force

Fraud

Wrongful search or stop

Please Explain Details Of Your Complaint

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First Name

Last Name

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I certify that the above complaint is true and accurate to the best of my knowledge and that any documents attached are true and accurate copies of the originals.