We may be required to share your information with other parties, both in the investigation of your complaint and in order to comply with our statutory obligations. Please see our Privacy Notice for situations when this may happen. Online Complaint Form Title: Mr Mrs Miss Ms Dr First Name: Surname: Date of Birth: Gender: Male Female Address: Postcode: Daytime tel no.: Mobile tel. no.: E-mail Address: Security Verification: Complaint Details Name and Address of legal representative: Please indicate if you have any special requirements and provide details if applicable (E.G. an interpreter): Please provide details of your complaint against police (please include location, date and time of incident): Can you please identify the officer(s) against whom you are making this complaint (a service number, shoulder number, name or station where based would be helpful): Please confirm whether you sustained any injuries as a result of your interaction with police and if you were medically examined: Did anyone witness your interaction with police? If so please provide names and contact details: What is your allegation of misconduct against police in relation to your complaint?: Please confirm if you were arrested by police and what station you were taken to if applicable: Please indicate if you are being prosecuted for any offences arising from this incident: Please confirm what outcome you hope to achieve by making this complaint: