WEST LINN POLICE COMMENT FORM
MAIL OR DELIVER COMPLETED FORM TO:
West Linn Police, 1800 8
th
Avenue, West Linn, OR 97068,
fax to 503-656-0319, or email to wlpdrecords@westlinnoregon.gov
I want to file a: Complaint Commendation
Information about you:
Last: First: Initial:
Home: ( ) Work: ( )
C
ell: ( ) Email:
Date of Birth: / / Sex: Male Female Race:
Street:
City: State: Zip Code:
How were you involved in the incident? It happened to me I witnessed it I heard about it
Are you represented by an attorney regarding this matter?
Yes No
Attorney’s Name: Phone: ( )
Information about the incident:
Date: / / Time: AM/PM Incident/Case Number: __________________
Address/Location: _____________________________________________________________________
Information about the West Linn Police officer(s) or employee(s) involved:
Name: Name:
Additional Officer Information:
If there were witnesses, please tell us about them:
Name: Phone: ( )
Name: Phone: ( )
Office Use Only:
Received by:
Received date:
