Fillable Printable Complaint Form - British Columbia

Complaint Form - British Columbia

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ComplaintForm

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Ifyouwishtofileacomplaintagainstanofficerwithamunicipalpolice

department,pleasecompletetheformbelow.Pleasefillinasmuch

informationaspossibleandadditionalpagesmaybeattachedifrequired.

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OfficeofthePolice

omplaintCommissioner

BritishColumbia,Canada

Whatyoushouldknow:

Bycompletingthisformandsubmittingyourcomplainttoouroffice, you will be entitled you as a Complainant to various rights

underthePoliceAct,including:

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Participatinginamediationsessionorinformalresolution

Beingkeptinformedoftheprogressoftheinvestigation

Receivingafinalinvestigationreport

Giventheopportunitytomakesubmissionsonthecomplaint,adequacyoftheinvestigation,andwhatyoufeelare

appropriatedisciplinaryorcorrectivemeasures

Ifnotsatisfiedwiththeoutcome,theabilitytoappealthedecision

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IfyousimplywantthepolicedepartmentandtheOPCCtoknowaboutyourconcerns,butdonotwishtoparticipateintheformal

complaintprocess,youmayfilea“Non‐RegisteredComplaint”.Dependingontheinformationprovided,itmayormaynotresult

inaninvestigationandyouwillnothavethesamerightsasaComplainantassetoutabove.ALLcomplaints–RegisteredorNon‐

Registered–arerecordedandreviewedbytheOPCC.

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If you would like further information about the Police Act complaint process before making yourdecision, please visit the OPCC

websiteatwww.opcc.bc.ca

orcallat1877‐999‐8707.

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Howdoyouwishtoproceed?(pleasecheckone):RegisteredComplaintNon‐RegisteredComplaint

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YourDetails:

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Indicatesthisinformationisrequiredinordertoprocessyourcomplaint.Pleasebeaspreciseaspossible.

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LastName:* FirstName:*Title(eg.Mr): 

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MailingAddress(orwhereyou’dliketobecontacted): DateofBirth: ___________________________________

___________________________________________ 

(Year/Month/Day)

___________________________________________ Hometelephone: ___________________________________

___________________________________________

___________________________________________ Worktelephone: ___________________________________

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Emailaddress:______________________________________ Cellphone: ___________________________________

*Pleaseprovideatleast1wayinwhichwecancontactyou*

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Whendidtheincidenthappen?*Timeitoccurred?*   

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(Year/Month/Day)

Wheredidtheincidenthappen?* 

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NameofthePoliceDepartmentinvolved:* PoliceFile#(ifknown): 

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NameorbadgenumberofOfficer(s)–ifknown: 

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Werethereanywitnesses?Ifso,pleaselisttheirnamesandcontactinformation(ifknown):

Describeyourinjuries(ifany): Ifyoureceivedtreatmentforyourinjuries:

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 Where? 

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When?

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DetailsoftheComplaint:

www.opcc.bc.ca Office of the Police Complaint Commissioner 1 877-999-8707

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Pleasedescribeyourcomplaint andthedetailsofwhatoccurred.Ifrequired,youmayattachadditionalpages:

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Page_____of_____

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IaffirmtheinformationIhaveprovidedinthisformiscorrectandtruetothebestofmyknowledge.

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SignatureofComplainantDatesigned

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TheinformationcontainedinthisformrelatingtoyourcomplaintiscollectedanddisclosedtotheinvestigatingagencypursuanttoPart11ofthePolice

Act.Ifyouhaveanyquestionsoranyconcernsregardingthecomplaintprocess,pleasecontacttheOfficeofthePoliceComplaintCommissioner.

Thecompletedformmaybesubmittedtoanymunicipalpolicedepartmentorsubmitteddirectlyto:

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TheOfficeofthePoliceComplaintCommissioner

Floor,947FortStreet,POBox9895StnProvGovt,Victoria,BCV8W9T8

Tel:250356‐7458Fax:250356‐6503Website:www.opcc.bc.ca

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DescriptionofComplaint

Awidevarietyofsupportgroupsareavailabletoassistyouwiththecomplaintprocess.Forhelpfinding

therightsupportgroupforyourneeds,please callourofficeat1877‐999‐8707andaskfortheSupport

GroupCo‐ordinator.Acompletelistofsupportgroupsisalsoavailableonourwebsite.

Tobecompletedbythepersonreceivingthiscomplaint:

Iherebyacknowledgereceiptoftheabove‐notedcomplaint, }

Receivedon_____________________at___________. }

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 (Year/Month/Day) (Time) } (Nameofpersonreceivingcomplaint)

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Agencyreceivingcomplaint:_______________________________

Howwasthecomplaintreceived? Inperson

 Bymail Byphone Bywebmail OnLine

Ifreceivedorally,contentsofcomplaintreadbacktoComplainant?YesNo

CopyofcomplaintacknowledgingreceiptprovidedtoComplainant?

YesNo

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ForwardedtoOPCC:

Datesent:____________________________