Form Center

2. Rolling Meadows Police Department Employee Complaint Form

   Please use this form when filing a complaint against any Rolling Meadows Police Employee.

6. YOUR INFORMATION

8. A Rolling Meadows Police Supervisor holding the rank of Sergeant or above will be contacting you in regards to this complaint. Please provide accurate information for a timely response.

10. First Name*
11. Last Name*
13. Street Number*
14. Street Name*
15. Street Type
16. Apt #
18. City*
19. State*
20. ZIP*
22. Phone Number:*
23. Alternate Phone:
25. Your Email Address*
26. Best Time of Day to Contact You*
28. Please Indicate What Day of the Week is the Best to Contact you*

    1. Sunday
    2. Monday

    1. Tuesday
    2. Wednesday

    1. Thursday
    2. Friday

    1. Saturday
32. Who is This Complaint Against?*

    1. Police Officer
    2. Community Service Officer

    1. Police Volunteer

    1. Police Assistant

    1. Other Police Employee
36. INCIDENT INFORMATION
38. Address of Occurence*
40. Date of Incident*
41. Time of Incident*
    Approximate time incident occurred
43. Name of employee (If known)
44. Employees Star Number (If known)
46. Tell Us What Happened*

    Please be as detailed as possible. Do not leave anything out no matter how insignificant you feel it is. The more information you tell us about the better.

48. Attachments
    Please provide any supporting documentation you may have
49. Attachments
    Please provide any supporting photographs you may have.
51. Attachments
    Please provide any supporting video you may have
52. Attachments
    Please provide any supporting audio files you may have
56. Form Submission

    By submitting this online complaint form you are authorizing the Rolling Meadows Police Department to investigate this matter. I further understand that giving false information on this form is punishable under 720 ILCS 5/26-1A4 – Filing a False Police Report. False allegations, which are determined to be slanderous in nature and/or are made without merit or foundation against a member of the Rolling Meadows Police Department may result in a civil and criminal action placed against you. By providing my identifying information in a digital format I am authorizing this complaint to be submitted and investigated. 

58. First Name*
59. Middle Initial
60. Last Name*
62. Date of Birth*
63. Last Four of SSN or DLN*
65. Date Complaint Submitted*

67. By providing the above identifying information I authenticate the transmission of this online complaint form and believe this complaint to be true and accurate to the best of my knowledge. I also understand that if I provide false information I am subjected to civil and criminal prosecution.

71. Please click the submit and print button to lodge this complaint. Please print the copy for your records.

Leave This Blank:


73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit Submit and Print

* indicates a required field