Subject: Report of serious misconduct — [the person], [the agency]
Given name / family name: [your full name]
Date of birth: [your date of birth]
Address: [your postal address]
Email: [your email]
Allegation
Serious misconduct by [the person] of [the agency]: [what happened].
Date
[the date they received it].
Location
Where it happened. Station, office, address.
Agency
[the agency].
Officer involved
[the person], with rank and registered number if known.
What happened
- One fact per number. What was said or done, by whom, when.
- What the officer’s own record says. Quote it.
- What the officer did with the record. Quote that too.
- Any prior finding by another body on the same matter, with its date.
- Any connection between the officer and a person on the other side.
Witnesses
Names, or “available on request”. The recorded interview and the running sheet are witnesses too; say they exist.
Reported elsewhere?
Yes or no. If yes: which body, when, and what it said.
[your full name]
today