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Compliment/Complaint Form

  1. Header-Compliment-Complaint Form

  2. Instructions:

    If you would like to compliment a Southampton Town Police Department employee, or file a complaint against a police employee, please write legibly and fill out this form. Personal information will not be disclosed to the public, unless required by law. You can submit this form by mailing or returning it to the Southampton Town Police Department at the address given at the top of this page.

  3. I wish to file a (please check one):

    Notice: You may file a compliment or complaint anonymously. Please understand filing anonymously does not provide the opportunity to contact you for more information or advise you of our actions related to your compliment or complaint

  4. Do you wish to remain anonymous?

  5. Are you filing this on behalf of someone else?

  6. Information about the incident

  7. Name or ID# of Officer or Employee

  8. Digital Signature Submittal

  9. Leave This Blank:

  10. This field is not part of the form submission.