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2. Please use this form if you wish to file an online Citizen Complaint regarding a Grandview Heights Police Officer. To help us respond, fill in as much information as possible. Please note that this form is for issues or concerns directly relating to Grandview Heights Police business. For general inquiries, email bsisinger@grandviewheights.org or call (614) 488-7901. Any matters submitted through this form that are not complaint-based may not receive a response. This form is also not for safety concerns or criminal activity. Safety concerns and criminal activity should be submitted at https://bit.ly/366rsEb
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State
13. Zip
15. Email
16. Race (Optional)
17. Gender (Optional)
19. Phone Number*
20. Date and Time of Incident*
    Date and Time of Incident

    Date and Time of Incident
22. Details of Incident*
24. Location of Incident*
26. File Upload
    Please provide any supporting documentation such as recordings, photos or videos.
28. Officer's Name
29. Badge Number
31. Signature*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I Agree
33. Due to contractual agreement, this form must be signed by checking the "I Agree" box above to ensure a formal investigation and resolution.
35. Date and Time of Submission
    Date and Time of Submission

    Date and Time of Submission
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field