Official Complaint - Public Safety

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Involved Person(s)(Required)

Name

Role

Witness(es)

Name

Contact Info

Your Complaint(Required)

This narrative statement should reflect a truthful and accurate account of events to the best of your knowledge. Please include relevant details such as the date, time, location, individuals involved and any witnesses. Information provided may be reviewed by authorized personnel and become part of an official record.

Please Confirm(Required)

I hereby make this statement freely, knowingly and voluntarily to the Greenfield Community College Public Safety Department. By submitting this statement, I affirm and certify, under penalty of perjury, that the facts and information contained herein are true and correct to the best of my knowledge and belief.

I confirm