New Complaint
New Complaint
For Official Use Only
Category
Case Complexity
Method Received
Date and Time Received
Received By User
3304 Date Received Ack
3304 Date Calculated
180 Day Date
Complaint Form

 
Complainant Information
Name
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Gender
Race
Other Race
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Date of Birth
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Address
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Home Phone
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Work Phone
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Email
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Representative  Making a complaint on behalf of someone? Please complete this section.
Name
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Relantionship to Complainant
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Address
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Home Phone
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Work Phone
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Incident Information
Can you identify the Officers involved?
Yes
No
Serial/Badge numberNameGenderRaceOther RaceOFFICERTYPE
Incident Location
Unknown
Date of Incident
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Hour of Incident
 
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Brief Narrative Description of Incident
Were you injured?
Yes
No
Were there any witnesses?
Yes
No
Last NameFirst NameMiddle NameAddress2nd AddressCityStateZipPhone
Was the complaint also filled through other entity?
Yes
No
What would you like as a result of this complaint?
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Is complainant a minor or assisted by an attorney or other representative?
Yes
No
Upload supporting materials
Please upload any evidence that you feel may be important such as copies of citations, police reports, photographs, audio or video recordings, etc.  Once your complaint has been initiated you will have the opportunity to submit further documentation or evidence either to our office, or electronically through the “follow my complaint” functionality included if you register as a user through this website.

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Complainant’s Signature
By checking this box, I hereby attest that I have read and understood this statement, which I have made of my own free will, and that all information provided in this complaint are true and correct to the best of my knowledge.  
Complainant’s Initials
Date
09-16-2019
| Notice and Releases
The Oakland Community Police Review Agency (CPRA) investigates complaints against members of the Oakland Police Department.  The CPRA process (civilian complaint review) is a PUBLIC PROCESS.  This means that all the information you provide to the CPRA and any information you authorize the Oakland Police Department to release to the CPRA will be maintained in CPRA files for a period set by the California Public Records Act, and may be released to the public under certain circumstances.

I have read and understood that the information gathered during the investigation is a matter of public record, and may be released to the public under certain circumstances. 
Complainant’s Initials
Date
09-16-2019
In order for the CPRA to effectively investigate your complaint, you must authorize the Oakland Police Department to release to the CPRA the following information to which you are entitled by law [Cal. Gov’t Code §6254(f)]: any statements you have given or may give in the future to the Oakland Police Department regarding this incident, the names and addresses of persons involved in or witnesses to the incident (other than confidential informants), the description of any property involved, the date, time, and location of the incident, all diagrams, statements of the parties involved in the incident, and statements of all witnesses (other than confidential informants).

I have read and understood the above and authorize the Oakland Police Department to release the above information to the CPRA.
Complainant’s Initials
Date
09-16-2019
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