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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. Is this an anonymous complaint?*

    1. Yes
    2. No-Please add your contact information so we can talk to you.
12. First Name
13. Last Name
15. Street Number
16. Street Name
17. Street Type
18. Apt #
20. City
21. State
22. ZIP
24. Phone Number:
25. Alternate Phone:
27. Your Email Address
28. Best Time of Day to Contact You
30. 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
34. Who is This Complaint Against?*

    1. Police Officer
    2. Community Service Officer

    1. Police Volunteer

    1. Police Assistant

    1. Other Police Employee
38. INCIDENT INFORMATION
40. Address of Occurence*
42. Date of Incident*
43. Time of Incident*
    Approximate time incident occurred
45. Name of employee (If known)
46. Employees Star Number (If known)
48. 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.

50. Attachments
    Please provide any supporting documentation you may have
51. Attachments
    Please provide any supporting photographs you may have.
53. Attachments
    Please provide any supporting video you may have
54. Attachments
    Please provide any supporting audio files you may have
58. Form Submission

    By submitting this online complaint form you are authorizing the Rolling Meadows Police Department to investigate this matter.  The Rolling Meadows Police Department views all citizen complaints against its employees very seriously, and actively pursues investigations into misconduct. For this reason, it is important for us to ensure that the complaint is based on fact. False reporting in an attempt to unjustly subject a police employee to underserved discipline or slander, or place his/her employment in jeopardy can result in the filing of criminal charges and/or a civil suit placed against you. I understand this procedure and wish to submit this complaint. 

60. First Name
61. Middle Initial
62. Last Name
64. Date of Birth
65. Last Four of SSN or DLN
67. Date Complaint Submitted*
68. I am submitting this complaint anonymously*

    1. Yes
    2. No- Please include your name and contact information above.

70. 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.

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

Leave This Blank:


76. 1. Receive an email copy of this form.
77. Email address

    This field is not part of the form submission.

78. Submit Submit and Print

* indicates a required field