U.S. Department of Justice
United States Marshals Service
Complaint Regarding United States Marshals Service (USMS)
Personnel or Programs
* Required Field
Your Name:
Email Address:
Phone Number:
Other Number:
Street Address:
City:
State:
ZIP Code:
County:
* I certify that the information contained herein is true and correct to the best of my knowledge.
* COMPLAINT DETAILS - Please provide a description of the facts and circumstances surrounding the
reported activities, such as the evidence forming the basis of this report, the names of the individuals
involved, dates, location, and their involvement:
Privacy Act Statement: The USMS is authorized to collect this information from you pursuant to 28 C.F.R. § 0.111(n) and 28 C.F.R. § 0.113. The USMS will use
the information you provide to investigate your complaint regarding USMS personnel and/or programs, and may contact you for more information. The
information may be shared within the USMS, or to other components of the Department of Justice. In addition, the USMS may share the information with law
enforcement agencies investigating a violation of law (whether criminal, civil, and/or administrative), or agencies implementing a statute, rule, or order. The
con tents of your complaint may be shared with Con gression al offices. Additionally, the USMS may disclose relevant portions of the information to appropriate
parties engaged in litigation and for other routine uses as specified in the Federal Register. You are not required by law to provide the requested information,
but if you do not provide data in the fields listed, the USMS may not be able to properly address your complaint.
OMB Control Number 1105-0108 (Exp. 08/31/2023)
