Citizen Inquiry Report Form

Please use this form to submit a compliment, complaint or request for clarification. If you have a general question, please use the Ask-A-Cop form instead.

Location and Date Information

*Type of Report Compliment Clarification Complaint

*Nature of Incident

*Location of Occurance

*Date & Time Occured

Date & Time Reported

Arvada Police Report Number

*Involved Employee(s) or Employee Description

*Code

*Name

*Date of Birth

*Address

*Home Phone

*Work Phone

Code

Name

Date of Birth

Address

Home Phone

Work Phone

Code

Name

Date of Birth

Address

Home Phone

Work Phone

Description and Signature

*Description of Incident

*E-Mail

*Signature (Initial)I hereby swear that the above statement is true.

Arvada Police Department

8101 Ralston Rd
P.O. Box 8101
Arvada, CO 80001-8101
Non-emergency Phone: 720-898-6900
Administration Phone: 720-898-6660

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