ONLINE OPA Complaint form

Your Information:

Last Name: * First Name: *

Middle Initial:

Address:

City: State: AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NW NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY Zipcode:

Home Phone:

Work Phone:

Email Address: *

Information about the Incident:

Location of Incident: *

Date of Incident: * mm/dd/yy

Time of Incident: AM PM

Name of SPD Officer/Employee(If known):

Name of Witness(es) or Others Involved:

Witness Address:

City: State: AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NW NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY Zipcode:

Witness Phone:

Statement/Description of Incident:

OPA has a Citizen-Police mediation program to resolve certain complaints. Participation is voluntary. You can learn more about the mediation process on this website. Would you consider mediation for this complaint?

Do you have photographs or video relevant to this incident?

The Office of Professional Accountability exists to ensure professional and accountable law enforcement for the citizens for Seattle. 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.

I hereby certify that the information in this complaint is true and correct to the best of my knowledge and belief. *

Initials: