INTERNAL AFFAIRS DIVISION DEPARTMENT OF POLICE FORM...DEPARTMENT OF POLICE INTERNAL AFFAIRS DIVISION...
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MONTGOMERY COUNTY MARYLAND 101 MONROE ST ROCKVILLE, MD 20897-5044 NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY MAIL FIRST-CLASS MAIL ROCKVILLE, MD PERMIT NO. 88 POSTAGE WILL BE PAID BY ADDRESSEE DEPARTMENT OF POLICE INTERNAL AFFAIRS DIVISION 100 Edison Park Drive Gaithersburg, Maryland 20878 Compliment and Complaint Form We, the Montgomery County Police, are committed to providing the highest quality of police services by empowering our members and the community to work in partnership with the goal of improving the quality of life within Montgomery County, while at the same time maintaining respect for individual rights and human dignity. Our goal is to ensure that our employees are guided by the principles that every individual has infinite dignity and worth, and that we must show respect for the citizens we serve and for the men and women of the Department. A compliment or complaint, and its subsequent investigation, causes the police to examine the service that we provide to our community and to make necessary improvements in the way we provide those services. Each complaint will be investigated and appropriate follow up actions taken. You will be informed of the results of the investigation initiated by your complaint. For more information, see the Citizen Compliment and Complaint Process brochure. If you have a complaint or you would like to compliment an employee, you can fill out this form and either mail it or drop it off at the Internal Affairs Division. Please call 240-773-6000 if you have any questions or need assistance filling out the form. Complaints can be filed on actions by any Police Department employee. From County Executive Isiah Leggett and Chief J. omas Manger ank you for taking your time to let us know how the Montgomery County Police Department can improve the services we deliver. We are committed to community policing, which depends on a close working partnership between residents and law enforcement. Your feedback helps us to more effectively protect persons and property in the County. Again, thank you for contacting us. Isiah Leggett Montgomery County Executive J. omas Manger Chief of Police For further assistance, contact the INTERNAL AFFAIRS DIVISION 240-773-6000 www.montgomerycountymd.gov/police Montgomery County Department of Police INTERNAL AFFAIRS DIVISION Citizen Compliment & Complaint FORM
Transcript of INTERNAL AFFAIRS DIVISION DEPARTMENT OF POLICE FORM...DEPARTMENT OF POLICE INTERNAL AFFAIRS DIVISION...
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Compliment and Complaint Form We, the Montgomery County Police, are committed to providing the highest quality of police services by empowering our members and the community to work in partnership with the goal of improving the quality of life within Montgomery County, while at the same time maintaining respect for individual rights and human dignity. Our goal is to ensure that our employees are guided by the principles that every individual has infinite dignity and worth, and that we must show respect for the citizens we serve and for the men and women of the Department. A compliment or complaint, and its subsequent investigation, causes the police to examine the service that we provide to our community and to make necessary improvements in the way we provide those services. Each complaint will be investigated and appropriate follow up actions taken. You will be informed of the results of the investigation initiated by your complaint. For more information, see the Citizen Compliment and Complaint Process brochure. If you have a complaint or you would like to compliment an employee, you can fill out this form and either mail it or drop it off at the Internal Affairs Division. Please call 240-773-6000 if you have any questions or need assistance filling out the form.Complaints can be filed on actions by any Police Department employee.
From County Executive Isiah Leggettand Chief J. Thomas Manger Thank you for taking your time to let us know how the Montgomery County Police Department can improve the services we deliver. We are committed to community policing, which depends on a close working partnership between residents and law enforcement. Your feedback helps us to more effectively protect persons and property in the County. Again, thank you for contacting us.
Isiah LeggettMontgomery County Executive
J. Thomas MangerChief of Police
For further assistance, contact theINTERNAL AFFAIRS DIVISION
240-773-6000www.montgomerycountymd.gov/police
Montgomery County Department of PoliceINTERNAL AFFAIRS DIVISION
CitizenCompliment
&ComplaintFORM
OFFICE USE ONLY
Date Received: __________________
Time Received: __________________
Initials: _________________________
Compliment OR Complaint Form (Circle One)Instructions:1. Fill out form. Please print or type legibly. For TTY/TDD 240-773-6000.2. Complaints alleging excessive force must be signed and sworn to under penalty of perjury and filed with the Department withing 366 days of the incident. 3. Submit/mail this form to the Internal Affairs Division.4. You will be contacted in writing upon receipt of the Compliment/Complaint form.
Name: ________________________________________________________________________________________________ Date: ________________________________
Date of Birth: _____________________ Sex: ___________ Race: __________________ Home Phone: _____________________ Work Phone: _______________________
Street Address: ______________________________________________________________________________________Apt. Number: _____________________________
City: _______________________________________________________________________ State: __________________ Zip Code: ________________________________
Location or address where incident occurred: ______________________________________________________________________
Date of incident: ____________________________________ Time: __________________ a.m./p.m. (circle one) Incident No. (if known) ______________________________
Witness’ Name(s): _____________________________________________________________________________________Phone No.: ______________________________
Witness’ Address(es): __________________________________________________________________________________________________________________________
Name of Employee(s) Involved: __________________________________________________________________________________________________________________
Describe what happened (attach additional sheets of paper, if needed): __________________________________________________________________________________
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FUNCTION CODE: 301CALEA: 52.1.12PROPONENT UNIT: Internal Affairs Division
MCP 580Rev. 10/16
DEPARTMENT OF POLICEMONTGOMERY COUNTY, MARYLAND
COMPLIMENT/COMPLAINT FORM
SIGNATURE
