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Complaint Intake Form

  1. Complainant Information:
  2. Complaint:
  3. Witness Information:
  4. Member Information:
  5. Was the Member in Uniform at the time of the incident?
  6. Was the Member in a marked or unmarked car:
  7. Was the Member in Uniform at the time of the incident?
  8. Was the Member in a marked or unmarked car:
  9. F.S.S. 837.06 Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree, punishable as provide in §775.082 or §775.083
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