RIVERSIDE POLICE DEPARTMENT Complaint File Number:
COMPLAINT CONTROL FORM Police Report/Cite Number:
Location of Incident: Date: Time:
Received By: Date/Time: Routed to:
Subject Employee: ID#
Complainant: Date of Birth: Sex: Race:
Address:
City: State: Zip Code:
Home Phone: Cell / Business Phone:
Business Address:
Email Address:
Witness: Date of Birth: Sex: Race:
Address: City: State: Zip Code:
Home Phone: Cell / Business Phone:
Business Address:
Witness: Date of Birth: Sex: Race:
Address:
City: State: Zip Code:
Home Phone: Cell / Business Phone:
Business Address:
Complaint:
Signature of Complainant (Optional):
Mail to: Riverside Police Department - Internal Affairs, 4102 Orange Street, Riverside, CA 92501
You may also submit a complaint by telephoning the Department at (951) 351-6050 (Watch Commander, 24 hours).