Complaint or Compliment Download Manual Form Upload FormMax. file size: 2 GB. Please either upload a completed manual form here or proceed with the online form below.Name First Last Address Street Address Address Line 2 ZIP Code Phone (Mobile)Phone (Home)Email Date of Incident MM slash DD slash YYYY Time of Incident : Hours Minutes AM PM AM/PM Location of IncidentEndicott PD Incident #Were you arrested or issued a ticket? Yes No Officer's NameOfficer's Badge #Officers Car #List the name, address and/or phone number of any witnessesDescribe the details of your complaint or complimentDescribe any injuries or property damageWere you injured or did you receive medical treatment Yes No If you were injured or received medical treatment, please describe Δ
