Lawrence County - Citizen Complaint

1. General Information

Submission of a complaint does not, by itself, establish that misconduct occurred. Each complaint will be reviewed and, when appropriate, investigated based on the available facts and evidence. You may be contacted for additional information or supporting documentation.

2. Contact Information

First Name*

Last Name*

Address*

City*

State*

Zip Code*

Phone Number

Email

Preferred method of contact Phone Email Mail

Best time to contact you

3. Complaint Information

Date of Incident

Location of Incident

Approximate Time

Incident / Case Number, if known

Describe what occurred*

Include what happened before, during, and after the incident. Identify specific words or actions when possible.

What specific action or conduct are you complaining about? *

Were you arrested, detained, transported, served with legal process, or otherwise involved in an official Sheriff's Office action related to this complaint? Yes No

Choose Yes or No.

If yes, explain

Do you have documents, photographs, recordings, video, messages, or other evidence related to this complaint? Yes No

If yes, describe the evidence

4. Witness Information

Were there any witnesses to the incident? Yes No Unknown

Choose Yes or No or Unknown.

Witness 1

Name

Email Address

Phone Number

Address, if known

Witness 2

Name

Email Address

Phone Number

Address, if known

Additional witness infromation

5. Employee / Deputy Information

Name of deputy or Employee, if known

Rank / Position, if known

Badge Number, if known

Vehicle Number, if known

Was more than one Sheriff's Office employee involved? Yes No Unknown

Additional identifying information

Provide any additional names, descriptions, badge numbers, vehicle numbers, or other identifying information.

6. Submission & Review

Rich Text Editor

By submitting this complaint, I understand that:

• The Lawrence County Sheriff's Office may contact me for additional information.

• I may be asked to provide supporting documents or other evidence.

• Employees and witnesses identified in the complaint may be interviewed as part of the review or investigation.

• The submission of a complaint does not, by itself, establish that an employee violated Sheriff's Office policy or the law.

• The Sheriff's Office will determine the appropriate course of action based on the facts and circumstances.

• Information contained in this complaint may become part of an official Sheriff's Office record and may be disclosed when required by law.

Print Name*

Date*

Consent agreement By submitting this form, I acknowledge that this webform is not a secure or private means of communication. I understand that the information I provide may be accessible to personnel outside of the Human Resources (HR) department, and there is no guarantee of confidentiality. If I need to submit sensitive or confidential information, I understand that I will need to contact the HR department directly.

By clicking the consent box and/or submitting this form, I confirm that I accept these terms.

LAWRENCE COUNTY SHERIFF'S OFFICE

CITIZEN COMPLAINT FORM