JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
PRP Form
We strongly recommend you write out your answers to these questions offline, in a word document or in a notes app and pasting them in here. Spotty internet connections can disrupt access to the form and you could lose your work.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name? (this is optional)
Your answer
Which law enforcement agency was involved (check all that apply)
*
Troy Police Department
Troy Housing Authority (THA)
Rensselaer Sheriff's Department
Immigration & Customs Enforcement (ICE)
Required
What were the names of the officers involved in your complaint? (It's okay if you forgot but it is really helpful! You can also describe their appearance if you don't have a name.)
*
Your answer
When did the incident take place? (If multiple dates and times or you don't remember explain below in your story.)
MM
/
DD
/
YYYY
Approximately what time? (if this is a long-term problem or you are unsure how to answer this question please explain in your story below.)
Your answer
What's your story? (Feel free to be as detailed as you want)
*
Your answer
We may want to get in touch to corroborate your story with others. How do we get in touch with you? Put your phone number, your social media handles, your email address, etc.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report