Metro Transit Police Department

Date of Report

Time of Report

Date of Incident

Time of Incident

Related Case Number

Reporting Party or Complainant

Reporting Party or Complainant Address

Apt./Unit Number

City

State

Zip Code

Date of Birth

Home/Cell Phone

Work Phone

Description of Alleged Misconduct

Persons Involved Officer and/or Witness

1. Name/Identifying Data

Address

2. Name/Identifying Data

Address

3. Name/Identifying Data

Address

Verification by Reporting Party

I verify that this report of officer misconduct is true and correct to the best of my knowledge and belief.

Full name

Transit Police Complaint Form