Citizen Complaint Report - City of Farmington Hills, MI

Citizen's Name

Home Phone #

Work Phone #

Email

Home Address

Name of Employee(s) Involved

Badge or Car Number of Employee

Date

Time

Location

Statement

Witness

Statement Taken By

I am making an official complaint in this matter. I certify the following account is true and accurate from my own personal knowledge. I am also aware that it is a crime to make a false or fictitious report.