Warren County Sheriff's Department

Community Feedback

The purpose of this form is to allow persons the convenience of reporting both positive and negative contacts with members of the Warren County Sheriff’s Department from the privacy of their own home, with the option of whether or not they wish to be identified by the Sheriff’s Department. On matters pertaining to negative feedback, attempts will be made to substantiate the allegation. If verified, corrective action, necessary documentation, and possibly disciplinary action will be taken to ensure the problem does not occur again. On matters pertaining to positive feedback, the deputy will be notified in front of their peers at an official roll call, and a copy will be placed in their personnel file. Open communication between the Sheriff’s Department and members of the public is vital to ensure public accountability, and to maintain the level of service we constantly strive to achieve. Thank you for your assistance on these matters.

Reporting Person's Information: (Optional)

Name

Address

City, State, Zip

Email

Phone Number

Do you wish to be contacted?

Name of WCSD Personnel with whom you had contact: (If you do not know the name of the employee, refer to the various division pages on our website to familiarize yourself with their pictures, names, and badge numbers so that you can more accurately complete this form.)

Name

Badge Number

Plate Number on Patrol Car

Description / Nature of Contact with WCSD Personnel:

The purpose of this report is to make a complaint and/or report negative contact with the WCSD:			Yes No
The purpose of this report is to report a positive contact with the WCSD:			Yes No
Date of Contact
Time of Contact
Location of Contact
Purpose of Contact
Narrative Detail of Contact

If this report is in reference to a negative contact with the WCSD, please provide witness information if relevant.

Witness #1 Information: (Please provide all known information)
Name
Address
City, State, Zip
Phone Number

Witness #2 Information: (Please provide all known information)
Name
Address
City, State, Zip
Phone Number

Witness #3 Information: (Please provide all known information)
Name
Address
City, State, Zip
Phone Number