2. First Name
3. Last Name
5. Street Number
6. Street Name
7. Street Type
8. Apt #
10. City
11. State
12. Zip
14. Phone
15. E-Mail
16. Location of Incident
18. Incident Date\Time
    Incident Date\Time

    Incident Date\Time
19. Name of Officer(s)/Employee(s)
20. Information about the Incident
22. Name of Witness(es) or Others Involved
23. Witness Phone
24. Enumclaw Police Department Report/Incident Number if known or applicable
26. Statement/Description of Incident:
    The Chief of Police and Department Supervisors want to ensure professional and accountable law enforcement for the citizens of the City of Enumclaw. 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.
28. Acknowledgement

    1. I hereby certify that the information in this complaint is true and correct to the best of my knowledge and belief.
29. Do you have photographs or video relevant to this incident?

    1. Video
    2. Photos
    3. None
31. Description of the Incident
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

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