Report Employee Misconduct

This form should be used exclusively to report employee misconduct. Complaints regarding Conway Police Department policies and procedures, or police response time to a location, should be discussed with the watch commander at the police station.

Name of Complainant Name of Complainant First Last
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Primary Phone Primary Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Email Address
Location of Incident
Date of Incident Date of Incident / MM / DD YYYY
Time of Incident
Departmental Employee(s) Involved
Details of Complaint
By sending this report, I confirm that it is a true and honest account.