Citizen Complaint

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Complete Citizen Complaint Form

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

The citizen complaint procedure provides individuals with the opportunity to lodge a complaint alleging misconduct or wrong doing on the part of a member of the Medina County Sheriffs Office.

Your name*

First Middle Last

Your address*

Street Address Address Line 2 City State ZIP Code

Home phone number

Your number*

Name of employer*

Work hours*

Employer phone*

(If you are a parent filing a complaint on behalf of your minor child, please include his/ her name and D.O.B. in narrative.)

Date of incident

Time of incident

Location of incident*

Deputie(s), Employee(s), Badge Number(s), and/or Vehicle Number(s) of those involved*

(List all you know of)

Narrative: (Give specific facts below. State exactly the actions of the officer(s) that causes you to complain.)*

O.R.C. 2921.15 (B) ''No person shall knowingly file a complaint against a peace officer that alleges that the peace officer engaged in misconduct in the performance of the officer's duties if the person knows that the allegation is false. Violation of this section is a misdemeanor of the first degree. "I understand that by signing this complaint, and if the complaint is UNFOUNDED, I could be charged criminally."

(Signature of complainant)*

Date*