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OKLAHOMA CITY COMMUNITY COLLEGE POLICE DEPARTMENT C (Oklahoma City Community College)

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OKLAHOMA CITY COMMUNITY COLLEGE POLICE DEPARTMENT
C
OMPLAINT FORM
Complainant Information
Name:___________________________________
DOB:____________________________________
Address:_________________________________
_________________________________
Phone:__________________________________
Student ID:_______________________________
OCCC Police Department Employee
Name (If known):____________________________
Description:
Sex:_______ Age:____Race:__________HT:_______
WT:_______Build:_________Hair color:___________
Eye color:____________ Glasses: Y/N Facial hair: Y/N
Police Unit (If Applicable)
Unit ID number:______Tag number:__________
Initial Contact Information
Type of Contact:___________________________
Date of Contact:___________________________
Approximate Time of Contact:________________
Location of Contact:________________________
Specific Allegation(s)/Concern(s)
1._______________________________________
2._______________________________________
3._______________________________________
4._______________________________________
5._______________________________________
Narrative
Please describe or explain the alleged actions committed by the OCCC Police Department Employee(s)
~End of report~ (Initials) ____
Narrative (Continued)
~End of report~ (Initials) _____
Affidavit
I, ____________________________________, have read (or someone has read to me) all the information on this form
concerning my complaint(s) of what I believe to be inappropriate behavior by an employee of the Oklahoma City
Community College Police Department. I fully understand the contents of the entire form, and believe all statements
made by me are true and correct. I have initialed all errors and corrections, and placed by initials in all required spots
.
I understand if I falsified any information I could be subjected to criminal prosecution.
_______________________________________________ ______________________
Signature of Complainant Date/Time
_______________________________________________ ______________________
Signature of Supervisor Taking Complaint Date/Time
*Everything below is for official use only- To be completed by OCCC Police Supervisor
Supervisor’s Actions
Investigating Supervisor:
Name_______________________________ RID________
Type of Complaint
Formal
Informal
Interview with Complainant: _______(Initials)
Date/Time______________
Interview with Officer:
_______(Initials)
Date/Time______________
Review/Preservation of Video: _______(Initials)
Date/Time______________
Investigation Memo:
_______(Initials)
Date/Time______________
Supervisor’s Findings
Complaint Forwarded to Lieutenant
(Only if Serious in Nature)
Unfounded
When the investigation discloses that the alleged acts
did not occur or did not involve department members.
Complaints that are determined to be frivolous will fall
within the classification of unfounded.
Exonerated
When the investigation discloses that the alleged act
occurred but that the act was justified, lawful, and/or
proper.
Not Sustained
When the investigation discloses that there is
insufficient evidence to sustain the complaint or fully
exonerate the member.
Sustained
When the investigation discloses sufficient evidence to
establish that the act occurred and that it constituted
misconduct.
_________________________________________
Signature
Administrative Review
Police Lieutenant
Concur
Oppose (See notes)
___________________________________________ ______________
Signature Date
Chief of Police
Concur
Oppose (See notes)
___________________________________________ ______________
Signature Date
Administrative Notes (If Opposed)
Lieutenant:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
____________________________________ ____________
Signature Date
Chief of Police:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
____________________________________ ______________
Signature Date
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OKLAHOMA CITY COMMUNITY COLLEGE POLICE DEPARTMENT C (Oklahoma City Community College)

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Completed 26 July 2020

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