INTEGRITY PROFESSIONALISM HONOR
POLICE
DEPARTMENT
How to Initiate a Citizen Complaint
A relationship of trust and confidence between members of the Police Department
and the community is essential to effective law enforcement. In order to preserve
that relationship, public confidence must be maintained in the ability and willingness
of the Police Department to investigate and properly adjudicate allegations of
misconduct made against its employees.
The Citizen Complaint form should be completed whenever an employee of the
Everett Police Department has allegedly acted in an improper manner. This can
include, but is not limited to alleged illegal, unethical or unprofessional conduct.
The Citizen Complaint form should include whenever possible, the identity of all
persons involved in the alleged incident including the officer(s), witnesses, etc. The
form should also include the specific issue(s) of misconduct about which the
complaint is being made; the date and time that the alleged misconduct occurred and
the location where the alleged misconduct occurred. The Citizen Complaint form
should be accurately and thoroughly completed and returned to the Everett Police
Department within 30 days of receipt. Your concerns will be investigated, and you
will be informed in writing of the outcome of the investigation.
Substantiated allegations can lead to serious consequences including verbal and/or
written reprimands, suspension, and even termination of the employee. Therefore,
safeguards against false and/or malicious complaints are provided to employees of
the Everett Police Department. Complaints that are found to be false and/or
malicious may result in criminal and/or civil liability on the part of the complainants.
Completed Citizen Complaint forms may be returned to the Everett Police
Department in person or mailed to the Everett Police Department, Office of
Professional Standards, 3002 Wetmore Avenue, Everett, WA 98201. Citizen Complaint
forms may also be emailed to: police@everettwa.gov.
If you have any questions, please contact the Office of Professional Standards at 425-
257-8555.
Thank you,
DAN TEMPLEMAN
Chief of Police
Everett Police Department Citizen Complaint Form
Complainant Name Date of Birth Home Phone
Complainant Address Business/Cellular/Message Phone
Witness Name Date of Birth Home Phone
Witness Address Business/Cellular/Message Phone
Date and Time of Incident Location of Incident Incident or Event No. (If known)
Employee Involved (If known) Additional Employee Involved
Describe incident in detail including additional witnesses, officer or employee names, etc.
I certify/declare under penalty of perjury under the laws of the State of Washington (R.C.W. Title 9A.72) that the foregoing
statement is true and correct and that no threats, promises or inducements have been made to me regarding my statement.
Signature Date Witness Signature Date
Supervisor/Desk Officer Taking Complaint Pers. No. Date
UPON RECEIPT OF COMPLETED CITIZEN COMPLAINT
FORM, IMMEDIATELY ROUTE ORIGINAL TO OPS
OPS USE ONLY
OPS RCVD ON
RCVD BY
ASSIGNED TO
OPS NO.
Rev: 2/2001 PD-340A
Submit Via Email