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 is to be utilized 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

Date of Birth:

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Res. Phone

(###)

###

####

Work Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone

(###)

###

####

Date of Incident:

YYYY

Time of Incident:

Hour

Minute

Second

Location of Incident (Address)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Witness(s) Name(s):

Include phone numbers and address

Name of Personnel:

or description

Brief description of complaint:

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.