Fairfax County Police Department

CONTACT INFORMATION: 24/7 Emergency Response; Office and Program Hours Vary
703-691-2131 TTY 711 (Non-Emergency)
12099 Government Center Parkway
Fairfax, VA 22035
Kevin Davis
Chief of Police

File a Complaint

Please enter your information (Labels with an "*" are required information.)
     
Last Name*
First Name*
M. I.*
Street Address *
City *
State    Zip Code*
    
Home Phone Number (703-999-9999)*
Work Phone Number (703-999-9999)*
E-Mail Address*

 

 
Please enter witnesses information
Witness 1:
Last Name
First Name
M. I.
Home Phone #
Street Address
City
State
Zip Code
Work Phone #
Witness 2:
Last Name
First Name
M. I.
Home Phone #
Street Address
City
State
Zip Code
Work Phone #
Witness 3:
Last Name
First Name
M. I.
Home Phone #
Street Address
City
State
Zip Code
Work Phone #

 

Please enter the officer(s)/employee(s) names and/or descriptions
 

 

Please enter the incident information
     
Location of Incident
Date of Incident (mm/dd/yyyy)
Time of Incident (hh:mm)
State your specific complaint(s) and explain the circumstances, giving the relevant facts known to you.

 
 Affirmation
 

I, , do hereby affirm that the foregoing information provided by me is true and complete to the best of my knowledge and belief.

I realize that to assure a thorough investigation of this matter, it may become necessary for me to meet with representatives of the Fairfax County Police Department for the purpose of discussing the incident in detail. I further understand that if a trial board hearing, court hearing or civil service commission hearing results from this investigation, my presence and testimony at such hearing may become necessary. I hereby agree to make myself available at reasonable times and places as may be necessary for such interviews and/or hearings.

Reported on .  (Enter today's date as mm/dd/yyyy)



 
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