Commendation & Complaint Form

Serving Yuba City

since 1908

Yuba City Police Department

Commendation & Complaint Form

The Yuba City Police Department appreciates citizen feedback related to the service provided by our officers and other personnel. The quality of service and the conduct of our personnel is very important to us. Commendations are received and passed to the employee's supervisor and ultimately the employee. The Department has a well-defined procedure for investigating civilians' complaints. Once a complaint is received, the Chief of Police ensures it is handled appropriately and a thorough investigation is conducted. Although complaints cannot always be resolved to a civilian's satisfaction, all investigations are conducted objectively, with a goal of maintaining public confidence and departmental inegrity.

I Want to File A:

Commendation
Complaint

Contact Information

Information about you.

First Name

Last Name

Middle Name (Optional)

Home Telephone Please include area code. For example: 555-555-1234

Cell or Work Telephone Please include area code. For example: 555-555-1234

Best Time to Call What is the best time and day of the week to be contacted?

Your E-Mail Address (optional)

Preferred Language

Street Address

City

State

ZIP Code

Incident Information

Date & Time of the Incident When did the incident that you are reporting happen?

Year Month Day

Address or Location of the Incident Where did the incident take place. If possible, please specify an address.

Information about the Yuba City Police Department Employee(s) Involved:

Police Employee #1 - Name

Police Employee #1 - ID or Badge Number

Police Employee #2 - Name

Police Employee #2 - ID or Badge Number

Are You Submitting this Form for Someone Else?

Yes
No

Submitting for Someone Else - if "Yes" If you are submitting this form for someone else, what is that person's name and telephone number?

Did You Witness this Incident?

Yes
No

Additional Witness Please list any additional witnesses, as well as their Telephone and Address contact information.

Statement Required

Briefly summarize what happened. It is important to provide as much information as possible describing the incident in full detail, including: Location, Date, Time, Officer(s) or Employee(s) Involved, and Witnesses. Additional YCPD Officer and/or YCPD employee information should be listed here as well. If names are not known, please include a detailed description of the Officer(s) involved.

What outcome are you seeking?

Electronic Signature Submission of this form constitutes a declaration that the information provided in this statement is true and factual to the best of my knowledge and will become public record once filed. I understand I may be required to appear for an interview or to provide other investigative assistance, as necessary. I understand that if I file a complaint, it is unlawful and against Yuba City Police Department Policies for anyone to retaliate against me for the filing of this complaint.

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