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WPD Citizen Comment

The function of the Bureau of Professional Standards is to ensure the integrity of the Worcester Police Department and its personnel, both sworn and non-sworn. This form is only for commending, lodging a complaint against or making a suggestion regarding a member of the Worcester, Massachusetts Police Department. Comments regarding police officers from other law enforcement agencies must be submitted to their employer in their jurisdiction.

If you prefer, you may fill out a hard copy version of this form in English, Spanish or Vietnamese and mail it to:

Worcester Police Headquarters
ATTN: Bureau of Professional Standards
9-11 Lincoln Square
Worcester, MA 01608

*Type of Comment
      

Contact Information

Full Name
Street Address
City/Town
State
Zip Code
Contact Number
xxx-xxx-xxxx
Email Address

WPD Personnel Involved

Name of Officer/Employee
Badge Number
Gender
    
Personnel was dressed in
    
Personnel was using




Incident Information

Date of Incident
YYYY-MM-DD
Time of Incident
Example: 2:00 PM
Location
Street Address, Intersection or Landmark
Were you involved with the incident or were you a witness?
    
*Brief Description
Give details about the commendation, complaint or suggestion.

Witness Information

Witness 1 Full Name
Witness 1 Street Address
Witness 1 City/Town
Witness 1 State
Witness 1 Zip Code
Witness 1 Contact Number
xxx-xxx-xxxx
Witness 1 Email Address

Witness 2 Full Name
Witness 2 Street Address
Witness 2 City/Town
Witness 2 State
Witness 2 Zip Code
Witness 2 Contact Number
xxx-xxx-xxxx
Witness 2 Email Address


*Verification
  
A summary of your entry will be displayed upon submission.
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