City of Aurora,Colorado Police Complaint Form

All fields except the 'Summary of Complaint' are optional.
Providing as much information as you can will assist in the resolution of the complaint.
If you want the Police department to contact you with a summary of the resolution of the complaint,
please provide your contact information (Name, Phone, e-mail,...).

Your Contact Information

I am a(n):
First Name:
Last Name:
Date of Birth: (mm/dd/yyyy)
Home Address:
City:   ST:  Zip:
Home Phone:
Occupation:
Work Address:
City:   ST:  Zip:
Work Phone:
Other Phone:
Email Address:
Gender:
Ethnicity:

Complaint Information

First Police Employee First Name:
First Police Employee Last Name:
First Police Employee ID Number:
First Police Employee Badge Number:

Additional Police Employee First Name:
Additional Police Employee Last Name:
Additional Police Employee ID Number:

Additional Police Employee First Name:
Additional Police Employee Last Name:
Additional Police Employee ID Number:

Additional Police Employee First Name:
Additional Police Employee Last Name:
Additional Police Employee ID Number:

Police Vehicle/License Number:
Date of Occurrence: (mm/dd/yyyy)
Approximate Time Range of Occurrence: Between and
Location:
Summary of Complaint (max 6000 Characters) *Required

Notice:

To the best of my knowledge, the above narrative represents a true and factually correct
accounting of events and circumstances leading up to the complaint/commendation.