700 Parkwood Ave Charlotte, NC 28205
Form Section 1
Citizens Review Board appeal form
1. YOUR PERSONAL INFORMATION
Name of Complainant or Next of Kin
Name of Attorney (if applicable)
Phone Number (Include area code)
2. APPEAL DATA
Date of Internal Affairs disposition (printed on the letter you received)
Date you received your disposition letter
Date your original complaint was filed
Why do you want to appeal?
Why do you feel the decision was wrong?
Do you feel your rights were violated? If yes, please explain.
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