Online Personnel Complaint Form
This form is only used for complaints of misconduct involving Los Angeles Police Department employees. The Los Angeles Police Department does not investigate employees of other Lo Angeles (LA) City departments, such as the Department of Water and Power or the Bureau of Sanitation, nor does it investigate LA County agencies, such as the LA County Sheriff’s Department. If you need to reach another LA City department, call 3-1-1 for assistance or find additional information online.

If you need the Personnel Complaint Form in Spanish, click here. If you require assistance in a different language, please call the 24-hour toll free hotline at (800) 339-6868.
Your Information (Today's Date) *
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First Name
Your answer
Last Name
Your answer
Middle Name
Your answer
Gender
Descent
Your answer
If Not English Speaking, Primary Language
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Mailing Address (If different)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone
Your answer
Work Phone
Your answer
Mobile Number
Your answer
Email Address *
Your answer
Date of Birth
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YYYY
Driver Licence Number
Your answer
State
Your answer
Information about the Incident
Date of Incident *
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Time
Time
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Has this complaint or any related complaint been reported before?
If yes, Case Number
Your answer
Arrest?
Booking Number (If known/applicable)
Your answer
Police Report Number (If known/applicable)
Your answer
Location of Incident *
Your answer
Involved Officers/Employees
Do you know the officer/employees’ names? List any additional officers/employees in theSummary.
Officer/Employee 1 & Badge or Serial No.
Your answer
Officer/Employee 2 & Badge or Serial No.
Your answer
Officer/Employee 3 & Badge or Serial No.
Your answer
Officer/Employee 4 & Badge or Serial No.
Your answer
Witnesses
Do you have names of any witnesses and their contact information? List any additional witnesses and their contact information in the Summary.
Witness 1 Name, Address, and Phone No.
Your answer
Witness 2 Name, Address, and Phone No.
Your answer
Witness 3 Name, Address, and Phone No.
Your answer
Summary
Please provide a summary of the incident. Include additional officers/employees and witnessesnot listed above.
Your answer
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