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YOU CAN FILE YOUR COMPLAINT BY USING THE COMPLAINT FORM BELOW.
YOU CAN ALSO SEND IN WHATEVER TYPE OF INFORMATION
THAT YOU THINK WILL BE OF MUCH HELP TO US

WE WILL APPRECIATE THEM VERY MUCH.

 COMPLAINT FORM

Answers on questions written in red are required:


. Complaint Number:    Date: 
2. Reported thru:
  In Person
  Thru Telephone
  Internet
3. Have you reported the matter to other Agencies? YES NO. If Yes,
  a. To which Agency: 
  b. By Whom: 
  c. Date and Time: 
4. Nature of Complaint/Information:
5. Place of Occurence/Incident:
6. Date and Time:
7. Name of Complainant/Informant:
8. Address:
9. Telephone Number:
10. Name of Victim/s:


11. Age


12. Sex


13. Address:


14: Tel Number:


15. Names of witnesses:


16. Address:


17. Tel. Number:


18. Name of Suspects:


19. Alias:


20. Sex:


21. Age:


22. Address:


23. Brief Narrative of Complaint:
24. I certify that the details of the complaint/information stated above are true and correct to the best of my knowledge.

25. E-mail address of Complainant:

FORM SUBMISSION

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