Citizen Complaint Form

I, , 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.

I HAVE (READ/HAD READ TO ME) THE ABOVE ADVISEMENT AND I UNDERSTAND IT'S CONTENTS.

Date of Incident:

Time of Incident: AM PM

Name(s) Description of Personnel Involved:

Brief Synopsis of Incident:
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