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This document is an internal affairs complaint form, likely for a municipal public safety agency, designed to facilitate the reporting of alleged misconduct by officers. The form requests comprehensive details from the complainant, including their name, address, contact information, and date of birth. It also asks for information regarding the accused officer(s), such as their name(s), badge number(s), and the location, date, and time of the alleged incident. The form prompts for a description of the incident type and alleged conduct, and allows for additional pages to be attached. It also enquires about the method by which the report was made (in-person, phone, letter, email, or other), whether physical evidence was submitted, and if the incident was previously reported. Finally, there are sections to be completed by the receiving officer and supervising officer, including their badge numbers and the date/time the complaint was received and reviewed.