Naperville Park District Police Department Complaint Report

Naperville Park District Police Department

Feedback Form for Complaints and Compliments

Name of person accepting complaint or compliment *

Date Reported to Chief of Police: * +

How was it Reported *

In Person

Telephone

Other Other

Submitter First Name *

Submitter Last Name *

Anonymous

Street Address *

Apt.

City *

State *

Zip Code *

Home Phone

Work Phone

Cell Phone *

Email Address *

Sex *

Male

Female

Incident Date * +

Incident Time: *

Report Number or Event Number: *

Involved Employee(s) (If multiple employees, number each of them 1, 2, 3) *

Incident Location: *

Nature of Complaint *