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
Phone number (Include area code)
2. ALLEGATION DATA
Date and Time of incident
Location of incident
Name of officer (if known)
Summary of allegation(s)
Please provide accurate information below to ensure the delivery of the signed copies of the document.
Legal Full Name (as you would sign):
Valid Email Address: