MPD Experience Documentation
Thank you for completing this form.  This information will be provided to the US Department of Justice as part of their investigation of the Minneapolis police department.  You may be contacted by them to provide additional information.
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Types of police encounters (mark the most appropriate) *
Full Name *
Phone *
Email *
Any other way to reach you:
Age of Affected Person(s)
Race of Affected Person(s)
Names of people involved
Date and time of incident (your best guess) *
Where did the incident take place? *
Provide a brief description of what took place. *
Were there any witnesses?  If so, please give names and contact info.
Did you require medical attention? *
Did you get arrested or get a ticket?  If so, what was the outcome? *
Did you file a complaint?  If so, what was the outcome?
Are you represented by a lawyer in this matter?  If so, who?
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