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Commendation / Complaint Form

To share a positive comment or to make a complaint please fill in the relevant sections listed below.
Click on "Submit" when you have completed the form.

The completed form will be reviewed by:

Deputy Chief of Police

Bellingham Police Department

* Indicates required information

GENERAL INFORMATION
I Wish To File A: *	Complaint Commendation
Your Name:*
Home Address:
Home Phone:*
Work Address:
Work Phone:
Cell Phone:
E-mail:
INCIDENT INFORMATION
Employee's Name:
Badge #:
Date of Incident:
Time of Incident:
Location of Incident:
*	Yes, I Would Like Follow Up Contact No, I Do Not Want Follow Up Contact
Commendation or Complaint Incident Detail:

I hereby certify that to the best of my knowledge, and under penalty of perjury, the statements made herein are true.

Initials:

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