Personnel Complaint - Scott County Sheriff's Department

This form is for non-emergency communications only. To report an emergency, please dial 911 (where applicable) or local emergency first responders. Your submission is important to us. Please include your phone number and/or email address so we may contact you regarding your submission. If you have not received a response within 48 hours, please phone our office for assistance. Thank you.

Fields marked with an <span class="ninja-forms-req-symbol">*</span> are required

Person making complaint: *

Phone:

What is the best time to contact you?

Person you are making the complaint about: *

If you do not know the person's name, please describe him/her:

Date of incident *

Time incident occurred

Case Number (if assigned):

Where did the incident take place: *

Describe what happened: Be specific as to what occurred. Include information on any witnesses *

Declaration

I declare this to be a true and correct report and the information therein to be a fact. I further understand that I may be criminally charged for filing a false report. False reporting to law enforcement authorities is a Class A Misdemeanor. By submitting this form, I agree to the above.