Charleston County Sheriff's Office: Citizen Complaint Form

Citizen Complaint Form

FOR EMERGENCIES PLEASE CALL OR TEXT 911, FOR NON-EMERGENCIES CALL 843-202-1700

asterisk () = required field

Advisement

Your Name Your Name *

, do hereby affirm that the information provided by me is true and complete to the best of my knowledge and belief. I understand that any false, misleading or untrue statements, accusations, or allegations herein made by me in relation to this complaint may subject me to civil and/or criminal prosecution. I realize that it may become necessary in the investigation of this complaint for me to meet with member(s) of the charleston county sheriff's office to discuss this complaint, either in the presence or the absence of the accused sheriff's office employee, at the discretion of the sheriff or his designee. If it becomes necessary, I accept that I may be requested to submit to a polygraph examination at the expense of the sheriff's office. Further, I understand that no employee of the sheriff's office will be required to submit to a polygraph until such time as I have taken and successfully completed an examination. I understand that withholding pertinent information will be considered untruthfulness.

Advisement Agreement *

I have (read/had read to me) the above advisement and I understand it's contents.

Contact Info

Name Name

Email Email Necessary if you would like to receive a copy of the complaint via email

Residential Phone Residential Phone

Business Phone Business Phone

Street Address Street Address

ECitymail City

State State

Zip Zip

Incident Info

Incident Date Incident Date

Incident Time (HH:MM) Incident Time (HH:MM)

AM/PM

Name(s) Description of Personnel Involved

Character Count * (2000 max limit)

0 / 2000

Brief Synopsis of Incident

Character Count * (2000 max limit)

0 / 2000

Verification Code

Code Code

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Citizen Complaint Form