Town of West Stockbridge
21 State Line Road, West Stockbridge, MA 01266
To File a Complaint Against an Officer
WEST STOCKBRIDGE
POLICE DEPARTMENT

OFFICER COMPLAINT FORM

Today's Date______________________ Current Time________________________

Name of Complainant__________________________________________________

Address of Complainant________________________________________________
                           ________________________________________________

Telephone Number of Complainant_________________________________________

List the Names, Addresses and Telephone Numbers of any Witnesses, if known.       
____________________________________________________________________
____________________________________________________________________

List the Name, Rank, (if known) and Description of the Employee (Officer) you are    
 making the Complaint against. ____________________________________________
_____________________________________________________________________

List the Date, Time and Location of the Incident you are making the Complaint about.    
_____________________________________________________________________
_____________________________________________________________________
Write a Description of the Incident, which caused you to file this Complaint.                  
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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Signature of Complainant_________________________________________________

Signature of Parent or Guardian if Complainant is under 18 years of age.                     
_____________________________________________________________________

Name, Rank, Signature and Date of Officer who receives the Complaint Report.            
_____________________________________________________________________

        It is the policy of the West Stockbridge Police Department to investigate all
complaintsagainst  a member of the Department through a regulated, fair and impartial
Internal Affairs Program. You do not need to be familiar with the law or Police regulations
to file your complaint. Complete this Complaint form and submit it to the Chief of Police at
the Police Station. You will be contacted by the Chief of Police. You will be kept abreast
of the progress of the case, and will be notified of the results of the investigation when
completed, usually within thirty (30) days.

        Thank you for your interest and concern in maintaining a high standard of
professionalism within the law enforcement community in West Stockbridge.