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Citizen Complaint Form

Citizen Complaint Form

DATE    TIME   

INDICATE ANY ADDITIONAL FORMS OR ENTRIES IN DEPARTMENT RECORDS WITH DATES
(ARRESTS REPORTS, OFFENSE REPORTS, ETC.)


COMPLAINANT'S INFORMATION

NAME
ADDRESS 
CITYSTATEZIP
PHONE
EMAIL
RACESEXDOB


NAME OF POLICE DEPARTMENT MEMBER(S)

NAMEBADGE / SERIAL#CAR#

 

OCCURRENCE INFORMATION
DATE   TIME    LOCATION 

WITNESS(ES) NAMESADDRESS    PHONERELATIONSHIP

 

DETAILS OF COMPLAINT

 

 



Security Measure

City Hall
2010 Howell St
North Kansas City, MO 64116

Phone 816-274-6000

Regular Hours:
Monday - Friday
8am to 5pm

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