The Cochran Police Department  
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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:
   
 
         
         
   
    
   
         
         
         
   
       

© 2006 Cochran Police Department
102 North Second Street
Cochran, Georgia 31014
(478) 934- 4282

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