Cochran Police Department

Officer Complaint Form

If you wish to download the form, fill it out and mail it in, please click here to download the complaint form.

Involved Officer Information (You must fill out one form for each officer involved.)
Name:	Case Number:	OPS

Person Making Complaint
Name:	Primary Phone:
Address:	Alternate Phone:

Please provide as much information about the reason you were in contact with the officer. (Traffic Stop, Arrest, Other) Specific information about the date, time and location will help in locating computer-based information if you do not know the officer's name.
Type of Contact:
Date of Contact:	Time of Contact:
Location of Incident:

List Any Witnesses to the Incident?
Name:	Primary Phone:
Adress:	Alternate Phone:

Name:	Primary Phone:
Adress:	Alternate Phone:

Name:	Primary Phone:
Adress:	Alternate Phone:


Reason for the Complaint: