Complaint Form

To file a complaint with the Wilmington Police Department please fill out the form below.

"*" indicates required fields

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

Name

First Last

Date of Birth

Email*

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Involved Employee*

Rank

Badge Number

Name of Involved Employee

Rank

Badge Number

Date of Incident

Time of Incident

Location of Incident*

Nature of Complaint*

Describe in your own words all details you consider necessary for the police department to investigate your complaint (use additional sheet if needed).

Name of Witness

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Confirmation

I am

I am NOT

I understand that I will be informed of the results of the police investigation and disposition of my complaint. Please pick one: I (am) / (am not) willing to testify at any hearing relating to this complaint. I have read the above written statement and it is true and accurate to the best of my knowledge.

Signature of Complainant or Parent/Guardian (if minor)*

Please type your name

Signature of Witness*

Please type your name