NARRATIVE:
/ Complaint (please check only one option) pertaining to the following: This is a Commendation
Date of Report
Time:
Telephone (home)
Email
Date of Incident
Time of Incident
Use of Force Service Property Misconduct
Your Name:
Home Address:
Telephone (work):
Location of Incident:
Complaint Type:
How Received:
In Person Letter Telephone Other
Telephone (home):
Telephone (work):
Telephone (home):
Telephone (work):
Deputy’s Name:
Witness: Name:
Address:
Witness: Name:
Address:
Your Signature:
Form Received By:
Date:
Employee # :
COMMENDATION OR COMPLAINT MEMORANDUM FORM
Marshal's Department
160 Pryor Street, SW, 5th Floor
Atlanta, Georgia 30303
Office: 404-612-4451
Email: FCMD.ComplaintCommendations@fultoncountyga.gov
FUL
TON COUNTY MARSHAL’S DEPARTMENT
Personnel Commendation or Complaint Memorandum
Continuation of Narrative