[City of Santa Barbara] Airport Law Enforcement

SANTA BARBARA AIRPORT DEPARTMENT

Law Enforcement Division

COMPLAINT FORM

Phone Number: Days

Phone Number: Evenings

Today's Date

Incident Date & Time

Location of Incident

List any witnesses, their address, and phone number:

Officer(s)'/Employee(s)' Name, if known:

Please describe the nature of your complaint. Be as complete and factual as possible.

Penal Code Section 148.6 Advisory

California Penal Code Section 148.6 requires the following statement be signed by eve,y person who files any allegation of misconduct against any peace officer. Without this signed document we cannot investigate your complaint. Your cooperation in complying with this requirement is appreciated. Sign and return this form as soon as possible. If we do not receive your signed form within thirty (30) days, your complaint will be closed.

YOU HAVE THE RIGHT TO MAKE A COMPLAINT AGAINST A POLICE OFFICER FOR ANY IMPROPER POLICE CONDUCT. CALIFORNIA LAW REQUIRES THIS AGENCY TO HAVE A PROCEDURE TO INVESTIGATE CITIZENS' COMPLAINTS. YOU HAVE A RIGHT TO WRITTEN DESCRIPTION OF THIS PROCEDURE. THIS AGENCY MAY FIND AFTER INVESTIGATION THAT THERE IS NOT ENOUGH EVIDENCE TO WARRANT ACTION ON YOUR COMPLAINT; EVEN IF THAT IS THE CASE, YOU HAVE THE RIGHT TO MAKE THE COMPLAINT AND HAVE IT INVESTIGATED IF YOU BELIEVE AN OFFICER BEHAVED IMPROPERLY. CITIZEN COMPLAINTS AND ANY REPORTS OR FINDINGS RELATING TO COMPLAINTS MUST BE RETAINED BY THIS AGENCY FOR AT LEAST FIVE YEARS.

IT IS AGAINST THE LAW TO MAKE A COMPLAINT THAT YOU KNOW TO BE FALSE. IF YOU MAKE A COMPLAINT AGAINST AN OFFICER KNOWING THAT IT IS FALSE, YOU CAN BE PROSECUTED ON A MISDEMEANOR CHARGE.

I have read and understood the above statement.

Complainant Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Date