Fillable Massachusetts State Police - Citizen Response Form

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Massachusetts State Police - Citizen Response Form

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File type: PDF

U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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Massachusetts State Police
Citizen Response Form
SP 340 Revised January 2012
Reporting Individual’s Information
Name:
DOB:
Home Address:
Home Phone Number:
Cell Phone Number:
Work Phone Number:
License Number and State (If applicable):
Vehicle Registration and State (if applicable):
Incident Date:
Incident Time:
Incident Location/Address:
Report Narrative
Type of Report (please check one): Complaint  Other 
NARRATIVE: Please provide a description of the event that you are reporting. Include the following information if known and/or applicable; Officer name, rank
and badge or identification number, cruiser description and number, witness information and citation number.
Signature_______________________________________________________ Date:__________________________
Use next page for additional narrative if needed.
Submission of a SP 340 Citizen Response Form
This form may be submitted in the following manner:
• Delivered in person to: The Massachusetts State Police General Headquarters 470 Worcester Road Framingham, MA 01702 / Citizen
Response Reports; or
• Faxed to: The Division of Standards and Training/ Citizen Response Reports 508-820-2149; or
• Emailed to: The Division of Standards and Training/ Citizen Response Reports at Citizensresponsereports@pol.state.ma.us
; or
• Mailed to: The Massachusetts State Police Division of Standards and Training/ Citizen Response Reports 470 Worcester Road
Framingham, MA 01702
• Click the submit button to electronically submit this form – Please only click once:
The Massachusetts State Police take your comments seriously.
An officer assigned to the Division of Standards and Training will contact you upon receipt of this document. You may also call 508-988-7003
during regular business hours. If a report is found to be fabricated and maliciously pursued, the reporting party may be subject to criminal
prosecution and/or civil proceedings.
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Massachusetts State Police
Citizen Response Form
SP 340 Revised January 2012
Additional Report Narrative
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Massachusetts State Police - Citizen Response Form

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Completed 16 May 2020

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