Office of the Independent Police Auditor Complaint Form

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2150 Webster Street, 4th Floor, Oakland, CA 94612
P.O. Box 12688, Oakland, CA 94604-2688
Phone: (510) 874-7477 Fax: (510) 874-7475
[email protected] | www.bart.gov/policeauditor

1. About You

If you wish to file your complaint anonymously, please leave the contact information fields blank. However, if you would like to receive communication about the status of your complaint, we suggest entering an email address or phone number. Alternatively, you may also call us at (510) 874-7477 regarding your complaint.

Location of Incident (Please be as descriptive as possible -- any information listed may prove helpful in investigating your complaint.)

If yes, please describe your injuries:

If yes, please supply contact information for your attorney:

3. Victim/Witness Information

Name Status: (Victim or Witness) Address Phone

4. Involved Police Officer Information

Badge Number Name Sex Race Description

If yes, please provide any identifying information that you have about the car(s):

5. Incident Description

Please describe the incident that forms the basis of your complaint. The more detail you are able to supply, the better equipped an investigator will be to conduct a thorough investigation:

6. Verification

In order to submit your complaint you must first check this box to verify that the information you are submitting is true, to the best of your knowledge.