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2. 
3. LSO Concern/Complaint Form

   If you have a concern or would like to make a complaint against an LSO employee, you may do so in person, by phone, in writing, or by submitting the information here.

   You are not required to provide your contact information but it may be helpful to fully resolve your concern or complaint. While all anonymous complaints will be investigated, the investigation of anonymous complaints will necessarily be limited by the reasonable ability to confirm information. Further contact and notifications may also be limited by the reasonable ability to contact you as the complainant.

5. Your Name
6. Your Email Address
8. Your Address
10. City
11. State
12. Zip Code
14. Your Phone Number
15. Alternate Phone Number
19. LSO Employee(s) Name(s) (If Known)

    Please provide any names, badge numbers, or identifying information about LSO employee(s) involved here.

20. LSO Employee Description

    Please provide any further descriptions of the employee(s) involved here.

22. Date/Time of the Incident
    Date/Time of the Incident

    Date/Time of the Incident

    Please provide the date and time of the incident you're reporting here.

23. Location of Incident

    Please provide the address or location of the incident you're reporting here.

25. Incident Case/Citation Number

    (If Applicable)

26. Offense

    If a citation was issued or an arrest was made, please list the offense.

27. Court Date
    Court Date

    (If Applicable)

29. Nature and Summary of Your Concern/Complaint

    Please provide a summary of your concern or complaint here. If you provided contact information, a supervisor may contact you for additional details or questions.

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field