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Internal Affairs - Misconduct Report Template

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LSFD Conduct Complaint Form
Internal Affairs Bureau


Complainant Information (Enter information where applicable)

Full Name:


Phone Number:

Email (discord): 

Incident Information:

EMT Name(s):

Incident Location/Address:

Time of incident (Convert to EST):

Witness Name & Phone Number:

Narrative - Please describe the incident in detail: 

Evidence - Any video or images you have to support your complaints:

Complainant Signature:

Edited by Ivy
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