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CMPD

601 E. Trade Street Charlotte, NC 28202

Form Section 1

Allegation of Police Misconduct form

Are you filing on behalf of someone else, like a family member or friend?
If so, please provide the name of the person for whom you are filing on his/her behalf

1. YOUR PERSONAL INFORMATION

Name
Address

2. ALLEGATION DATA

Date and Time of incident
Date Picker
Name of officer (if known)