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2. Citizen/Police Complaint Form

   The Mount Vernon Police Department strives to provide the highest level of service to the community. We believe we can better serve the community through citizen involvement, and encourage your comments and input regarding our agency.

   Be assured your comments and/or complaints will be thoroughly reviewed by the Office of the Chief of Police.

6. Name*
7. Phone Number*
9. Address1
11. Address2
13. City
14. State
15. Zip
19. Witness
20. Phone Number
22. Address1
24. Address2
26. City
27. State
28. Zip
30. Witness
31. Phone Number
33. Address1
35. Address2
37. City
38. State
39. Zip
43. Date & Time of Incident
44. Location of Incident
46. Comment/Complaint Resulted From:*
    -- Select One --Officer ContactInvestigationArrestCrime VictimTraffic ContactOther
48. Comment or Complaint in Detail*
50. Certification

    1. I understand that a false complaint may result in my being charged with "False Reporting" (MVMC 9.20.010). I certify that all information is true and correct.
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit Submit and Print

* indicates a required field