[City of Sacramento] Complaint Form

Complaint Form
City of Sacramento, Office of Public Safety Accountability
915 I Street, HCH 3rd Floor, Sacramento, CA 95814
OPSA Main Line: (916) 808-7525

Primary Contact

First Name

Last Name

Email

Primary Phone Number

Alternate Phone Number

Date of Birth

DL / ID #

Ethnicity

Gender

Witness 1

First Name

Last Name

Email

Phone Number

Ethnicity

Gender

Would You Like to add another Witness?

Yes

No

Witness 2

Full Name

Email

Phone Number

Ethnicity

Gender

Incident Details

(Be as specific as possible. It is NOT necessary to know the name and badge # in order to file a complaint)

Date & Time of Incident

Date Picker

Place of Occurrence

Employee's Name or Description (If known)

Gender

Ethnicity

Badge #

Employee's Name or Description (If known)

Gender

Ethnicity

Badge #

Employee's Name or Description (If known)

Gender

Ethnicity

Badge #

Summary of Incident