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 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
