Police Department Commendation / Complaint Form

Please be advised that personal information provided on this form may be disclosed to requestors under the Public Records Act (RCW 42.56).

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* I Wish to File a: *

Commendation

Suggestion

Inquiry

Complaint

Your Full Name: *

Email:

Address:

City:

State:

Zip Code:

Home/Cell Phone:

Work Phone:

Incident Information:

Location of Incident (up to 250 words):

Date of Incident:

Time of Incident:

Name of Officer / Employee (if known):

Name of Witness(es) or Other(s) Involved:

Witness Street Address:

Witness City:

Witness State:

Witness Phone:

Statement / Description of Incident (up to 250 words):

By typing my initials below, I hereby certify that the information in this complaint/comment is true and correct to the best of my knowledge and belief. *

The Mercer Island Police Department exists to ensure professional and accountable law enforcement for the citizens of Mercer Island. Honest feedback is essential to maintaining a police department that is both trustworthy and responsive to the community. Therefore, it is critical that truthfulness be maintained in the filing and investigation of complaints against the police. Citizens who wish to file a commendation or complaint are not required to provide their name or contact information. However, follow up communication by the Police Department may not be possible if this information is not provided.

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