City of Mercer Island - MI Police Commendation / Complaint Form

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City of Mercer Island /

Mercer Island Police Commendation / Complaint Form

Contact Us: (206) 275-7610 or mi-records@mercergov.org

Please be advised that personal information provided on this form may be disclosed to requestors under the Public Records Act (RCW 42.56).

* I wish to file a:

Commendation Suggestions Inquiry Complaint

Last Name:

Address:

City:

State:

Zip Code

Home Phone

Work Phone

Incident Information:

Location of Incident (up to 250 words)

Date of Incident:

Time of Incident:

Name of MIPD Officer / Employee (if known):

Name of Witness(es) or Other(s) Involved:

Witness Street Address:

Witness City:

Witness State:

Witness Phone:

Statement / Description of Incident (up to 250 words):

* By typing my initials below, I hereby certify that the information in this complaint/comment is true and correct to the best of my knowledge and belief.

The Mercer Island Police Department exists to ensure professional and accountable law enforcement for the citizens of Mercer Island. Honest feedback is essential to maintaining a police department that is both trustworthy and responsive to the community. Therefore, it is critical that truthfulness be maintained in the filing and investigation of complaints against the police.

Citizens who wish to file a commendation or complaint are not required to provide their name or contact information. However, follow up communication by the Police Department may not be possible if this information is not provided.

First Name:

Your Information:

Your comments will be transmitted directly to the Police Chief upon submission.