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2. The New Brighton Department of Public Safety expects its employees to serve with respect, integrity and professionalism.  It is the department's policy to investigate all allegations of misconduct concerning our employees.  If you wish to express a concern or file a complaint, please complete the following information and digitally sign the form.

   We look forward to addressing and resolving the issue you submit. Please note that you may submit this form anonymously, but without contact information, it may be difficult for the department to fully investigate.

4. First Name*
5. Last Name*
7. Phone*
8. Phone type*
   -- Select One --HomeMobileWork
10. City*
11. State/Province*
13. Postal Code*
14. Email*
16. What is your preferred method of contact?*
    -- Select One --EmailPhone

18. Incident Description

20. Location of Incident*
21. Time of Incident
23. Date of Incident*
    Date of Incident
24. Case Number

    In known

26. Officer Information

28. Officer(s) involved*

    If unknown, please provide a physical description

30. Badge number(s)
31. Vehicle number(s)
33. Name of person(s) arrested
34. Citation numbers (if given)
36. Charge(s)
38. Please describe your complaint:

40. Witness Information

    First Witness

42. Witness 1 Full Name
43. Witness 1 Phone Number
45. Witness 1 Phone Type
    -- Select One --HomeMobileWork
46. Witness 1 Street Address
48. Witness 1 State
49. Witness 1 City
51. Witness 1 Zip Code

53. Second Witness

55. Witness 2 Full Name
56. Witness 2 Phone Number
58. Witness 2 Phone Type
    -- Select One --HomeMobileWork
59. Witness 2 Street Address
61. Witness 2 City
62. Witness 2 State
64. Witness 2 Zip Code

66. Personal Information

    New Brighton collects demographic information on complaints to identify patterns and improve both our police force and our complaint intake process.

68. To which gender identity do you identify with most?

    1. Female
    2. Gender Variant/Non-Conforming
    3. Male
    4. Transgender Female
    5. Transgender Male
    6. Prefer not to answer
69. Race

    1. American Indian or Alaska Native
    2. Asian
    3. Black or African America
    4. Hispanic or Latino
    5. Native Hawaiian or other Pacific Islander
    6. White
    7. Prefer not to answer
71. Disability

    1. Hard of Hearing/Deaf
    2. Visually Impaired
    3. Other
72. Date of Birth
    Date of Birth

74. Complaint Signature

    Public and Not Public Information. You are being asked to voluntarily provide information that will be used to review your complaint. This information is subject to the Minnesota Government Data Practices Act. Although it is not available to the public, you may access this statement provided by you. All other information collected or created in connection with this complaint is not public and not available to you. If there is final disciplinary action after a complete investigation, the reasons for imposing final discipline will be public and will be available to you. True and Accurate Statement The City seeks to ensure that officers perform their duties with professionalism. Honest feedback is essential to maintaining a police department this is trustworthy and responsive to the communities it serves. It is therefore crucial that truthfulness be maintained in the filling and investigation of complaints against the police. Please be advised that Minnesota law (Minn. Stat §609.505) makes it a criminal offense to make a knowingly false and defamatory report of police officer misconduct.

76. Digital Signature*
77. Date*
    Date

79. Complaint Date

    By signing this complaint, I certify that the information in this complaint is true and accurate to the best of my knowledge and belief. I understand that this is the first step to initiating an investigation and that I may be asked to provide additional information about my complaint or give a recorded statement

81. Evidence Upload
Leave This Blank:


83. Submit

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