Spartanburg Public Safety Department

Complaint Form

Complainant Full Name:   

Complainant Full Address       Complainant Zip-Code: 

Home Phone Number:                                Business Phone Number: 

Complaint Date:                                      Complaint Time:  

Occurrence Date:                                     Occurrence Time: 

Occupation:              Date of Birth:     

Complaint Against: 

Nature of Complaint:

Please go into detail on the basis of you complaint and any information that will help to direct our investigation(s). Thank you.

I certify that all statements made by me on this complaint are true and correct to the best of my knowledge.