Report a Police Encounter Name of Person Making Complaint(Required) First Last Email(Required) Phone(Required)Name of Victim of Police Harassment(Required) First Last Address/Description of Location(Required) Date(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Department that Committed Action Officer Name(s)FirstLast Add RemoveOfficer Badge Number(s) Add RemovePhysical Description of OfficersWhat Occurred (Narrative)(Required)Are There Criminal Charges Pending Against Victim of Police Harassment?(Required) Yes No Was There a Use of Force?(Required) Yes No Please Describe the Force Used(Required)Was the Victim of Police Harassment Injured?(Required) Yes No Please Describe Injury(Required)Did the Victim of Police Harassment File A Grievance?(Required) Yes No Upload any Videos Drop files here or Select files Max. file size: 512 MB. Upload any Photos Drop files here or Select files Max. file size: 512 MB. Upload any other Documentation Drop files here or Select files Max. file size: 512 MB. Do you give us permission to share the information with USA Today to update their national police misconduct database efforts? YesCAPTCHA
