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2. By signing either personnally or electronically and filing this affidavit, I understand that this is an official report and as such falls within the guidelines of N.C. General Statutes.
4. Officer Commendation or Complaint*
   -- Select One --CommendationComplaint

   Please choose one.

6. Name of the Officer you are commenting about.*
8. Date of Incident*
   Date of Incident
9. Time of Incident*
   Time of Incident
11. Location of Incident*
13. Describe your commendation / complaint of the officer's actions.*
15. If you have a document pertaining to this commendation / complaint, please include submit here.
19. Your Information

    Please complete the following fields and we will contact you if more information is needed.

21. Name*
22. Email Address*
24. Address*
26. City*
27. State*
28. Zip Code*
30. Phone Number*
31. Fax Number
33. Please type your full name in the box below.*

    By signing, either personally or electronically, and filing this affidavit, I understand this is an official report and as such falls within the guidelines of N.C. General Statutes.

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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

* indicates a required field