| Before submitting this statement please read the following and choose one statement regarding confidentiality: |
| | I have no objection to my complaint, name, address, and phone number being made public. |
| | I request complete confidentiality regarding the information contained herein as it relates to public disclosure. |
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| | ATTENTION: It is a crime, according to state statute 946.66(2) - False complaints of police misconduct. To knowingly make false complaint regarding the conduct of a law enforcement officer. Said violation carries up to a $10,000 forfeiture. |
| | CERTIFICATION: I certify that all of the statements made in this complaint are true, complete and correct to the best of my knowledge and belief, and are made in good faith. |
| Please indicate that you have read the above statements and agree with the stated terms, and understand the legal responsibility associated with filing a citizen complaint. |