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Developments in police complaints - 7 years on
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>> Online Pleens Form
Online Pleens Form
*
= necessar
Title
Mr
Mrs
Miss
Ms
Dr
Gien Name
*
Surname
*
Date o Birth
Gender
Male
Female
Address
Postcode
Deytyme tel no.
Mobile tel no.
Email
*
Name and Address o legal representar or ither:
Kin pleen:
Tyme, date & location o incident:
Whit cam aff?
Whit wis sayed?
Descrive injure gif onie:
Propertie daen skaith or taen:
Onie witnesses? (gie details)
Details o polis officear comprehendit (comprehend station gif kent)
Haen ye a medical examination?
yes
no
Gif ay, obleeged gif ye wad gie details
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St Anne's Square,
11 Church Street, Belfast
BT1 1PG
T: 084 5601 2931
T: 028 9082 8600
F: 028 9082 8659
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