Murrieta Police Department Citizen Complaint Form (California Penal Code § 148.6 Advisory Statement) Instructions

Enter the date the complaint was received by the department.

Enter the full name of the department employee or staff member who received the complaint.

Enter the employee identification or badge number for the person who received the complaint (include any letters or leading zeros if applicable).

Enter the business telephone number for the person or office who received the complaint, including area code and extension if applicable.

Enter the full name (last, first, middle) of the first employee involved.

Enter the badge number or employee ID for the first employee involved.

Provide a brief physical description of the first employee involved (e.g., race, gender, approximate age, height, weight, clothing, distinguishing features).

Enter the full name (last, first, middle) of the first witness who observed the incident.

Enter the street address, city, state and ZIP code for the first witness.

Enter a daytime phone number where the first witness can be reached.

Enter the day and date when the incident occurred.

Enter the time when the incident took place.

Provide the specific location or address where the incident occurred (e.g., street address, intersection, or place name).

Enter the full name (last, first, middle) of the person involved who is not the reporting person. Fill only if 'Reporting Person - Name (Last, First, Middle)' is not the same as the reporting person (NAME (LAST, FIRST, MIDDLE)).

Provide the date of birth of the person involved who is not the reporting person. Fill only if 'Reporting Person - Name (Last, First, Middle)' is not the same as the reporting person (NAME (LAST, FIRST, MIDDLE)).

Enter the street address, city, state and ZIP code for the person involved who is not the reporting person. Fill only if 'Reporting Person - Name (Last, First, Middle)' is not the same as the reporting person (NAME (LAST, FIRST, MIDDLE)).

Enter the reporting person's full name in last, first, middle order.

Enter a telephone number (including area code) where the reporting person can be reached.

Enter the reporting person's date of birth.

Enter the reporting person's full mailing address including street, city, state, and ZIP code.

Enter the full name (last, first, middle) of the second employee involved in the incident.

Enter the badge number or other identifying ID assigned to the second employee involved.

Provide a brief physical description of the second employee (for example: approximate age, height, build, hair color, clothing, or other identifying features).

Enter the full name of the second witness (last, first, middle) as you want it recorded.

Enter the mailing address of the second witness, including city, state, and ZIP code.

Enter a contact phone number for the second witness (include area code).

Provide a clear, detailed narrative describing the complaint including what happened, when and where it occurred, the people involved, any witnesses, and any other relevant facts or circumstances.

Enter the full name of the third employee involved (last, first, middle) or a brief identifying description if the name is unknown.

Enter the third employee's badge number or other identifying ID (can be numeric or alphanumeric) associated with the employee.

Provide a short physical description of the third employee (for example: approximate height, build, hair color, clothing, or other identifying features).