City of Eugene - Office of Police Auditor
Eugene Police Complaint and Commendation Form
View this form in English Vea este formulario en Español
I want to file a: Complaint Commendation
Are you filing on behalf of someone else? Yes No His/Her Name: Phone: Are you represented by an attorney regarding this matter? Yes No His/Her Name: Phone: Information about you:
Last: First: Middle:
Home: Work:
Cell: Email:
Date of Birth: Gender Male Female Race: Street: Apt.:
City: State: Zip Code:
Information about the incident:
Date: Time: AM PM
Address/Location:
Information about the Eugene Police Dept. officer(s) or Dept. employee(s) involved:
Name: Badge Number: Name: Badge Number:
Information about a witness:
Name: Phone:
Address:
Briefly summarize what happened: