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Complaint Form
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Steps
1.
Step One
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2.
Step Two
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Step One
Compliment or Complaint Form
Date
Date
Contact Information
Name
Email Address
Address
City
State
Zip Code
Phone Number
Fax Number
Date of Birth
Witness Information
1. Name
Relationship
Address
City
State
Zip Code
2. Name
Relationship
Address
City
State
Zip Code
Details of the Incident
Redmond Police Officer
Badge #
Redmond Police Officer
Badge #
Date/Time
Vehicle #
Case #
Statement of Incident
Type statement of incident
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Step Two
Signature
“I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.” (RCW 9A.72.085)
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I agree.
Electronic Signature
Date
Date
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