2. 
3. 
   New Rochelle Police Civilian Complaint Form
5. Please complete this form with as much information as possible. This form may be submitted anonymously by writing "Anonymous" in the name space. We can provide interpreters at no charge if needed. If you prefer, you can file a Civilian complaint in person at the New Rochelle Police Department, print a Civilian complaint form from this website, or have a Civilian complaint form mailed to you. This form may also be obtained at the New Rochelle Police Department’s front window,
   If you have questions or need help filing your complaint, please call us from 8:30a.m. to 4:30p.m. at 914-654-2327 or leave a message after-hours.
7. Mission Statement
   The mission of the New Rochelle Police Department is to provide a professional community orientated police service designed to protect life and property and maintain order while assuring fair and equal treatment to all.
9. Vision Statement
   We will provide a quality police service that merits the public's trust and ensures the overall success and general welfare of the community
11. Values
    Ethics: We will demonstrate integrity and honor in all our actions.
    Valuing People: We will treat everyone with dignity and respect, protecting the rights and wellbeing of others.
    Loyalty: We will be loyal to the community, to the department, and it's members, and to the standards of our profession.
    Fairness: Our decisions will be balanced - moral, legal and without personal favoritism.
    Authority: We recognize that our authority is derived from the people we serve.
    Diversity: We appreciate one another's differences and recognize that our unique knowledge, skills, abilities and backgrounds bring strength and character to our organization.
    Commitment: We believe that our time spent in the workplace should be devoted to the delivery of quality police services.
    Conduct: We recognize that our conduct, personal and professional is inseparable from the reputation of the Department and must be moral, sober and judicious.
    Performance: We expect everyone to work to the best of their abilities.
    Integrity: We recognize that our behavior must reflect honesty, sincerity, and accountability. If the law is to be honored, those who enforce it must first honor it.
13. Retaliation Policy
    Members of the Department are prohibited from taking retaliatory action against any member of the public who has made a complaint against a member of the Department. Such retaliatory action will result in appropriate disciplinary action.
15. Personal Information
    Please complete this form to the best of your ability online with as much information as possible, please explain the best way to contact you.
17. First Name
18. Middle Name
19. Last Name
21. Alternate or Preferred Name
22. Preferred Pronoun
    -- Select One --He/Him/HisShe\Her\HersThey/Them/TheirsNot listedPrefer not to answer
24. Date of Birth
26. Occupation
28. Preferred Language
    -- Select One --EnglishSpanishCantoneseItalianGreekHindiJamaican PatoisPortugueseSwahiliMandarinKoreanFarsiVietnameseRussianSamoanTagalogYorubaOther
29. How would you like to receive communication regarding this matter?
    -- Select One --EmailPhoneMailI do not wish to be contacted
31. Demographic Information (Optional)
    Optional: The New Rochelle Police Department is requesting this information for statistical purposes only. It is optional to answer these background questions. We value your participation.
33. Ethnicity
34. Race
36. Gender
    -- Select One --Female/WomanMale/ManGender Non-BinaryGender Not listed AbovePrefer not to answer
37. Sexual Orientation
    -- Select One --BisexualGay MaleLesbianHeterosexualPansexualAsexualNot listedPrefer not to answer
39. Contact Information
    Note: If you are homeless or in transition, you may leave the phone number, email, or mailing address of a family member, friend, or agency that can help us reach you.
41. Email
42. Preferred Phone
    -- Select One --MobileHomeWork
44. Mobile Phone
45. Home Phone
47. Work Phone
49. Address1
50. Apt #
52. City
53. State/Province
54. Zip/Postal Code
56. Country
58. Incident Details
    If the date and time are unknown, please provide your best estimates.
60. Date and Time of Incident*
    Date and Time of Incident

    Date and Time of Incident
62. Location of Incident*
64. Incident Report Number (If Applicable)
65. Event/CAD Number (If Applicable)
67. Citation/Ticket Number (If Applicable)
68. Were you injured?
    -- Select One --YesNo
70. Do you have video, audio or photos of Incident?
71. 
    If yes, which ?
73. If injured, please describe your injuries
75. Narrative
    Please tell us what happened. What led to your contact with police? What happened during your contact with police? What do you feel was wrong about the incident? Did police do something wrong? Did they fail to do something?
77. Summary of Incident*
79. Officer Information
    Instructions: Please identify and describe the officer(s) involved in your complaint to the best of your ability. Helpful details include: gender, age, ethnicity, height, weight, and build. List any other characteristics that you remember, such as facial hair, eyeglasses, tattoos, or scars.
81. Officer #1 (Name or Description)
82. Badge Number
84. Officer #2 (Name or Description)
85. Badge Number
87. Please use this field if there are other Officers involved
89. Police Unit, if known
    -- Select One --Community Service OfficerCivilian EmployeeDispatcherPatrol UnitP.A.C.T. OfficerGeneral Investigations UnitProperty Theft UnitSpecial Investigations UnitTraffic UnitCritical Incident UnitHarbor UnitSupervisor
91. Police Vehicle Information
93. Vehicle Type
    -- Select One --Marked CarMarked SUVVan or WagonBicycleMotorcycleUnmarked Car
94. Vehicle Number
96. Vehicle Description
98. Witnesses
    Please identify and describe any witnesses to the incident.
100. First Name
101. Last Name
103. Email
104. Phone
106. How was the witness involved in the incident?
108. First Name
109. Last Name
111. Email
112. Phone
114. How was the witness involved in the incident?
116. Please use this space to provide any additional information that may help.
118. NOTICE;
     PURSUANT TO THE PENAL LAW, SECTION 210.45, IT IS A CRIME PUNISHABLE AS A CLASS "A" MISDEMEANOR TO KNOWINGLY MAKE A FALSE STATEMENT IN THIS COMPLAINT OR IN ANY DOCUMENT SUBMITTED WITH THIS COMPLAINT.
Leave This Blank:


120. 1. Receive an email copy of this form.
121. Email address

     This field is not part of the form submission.

122. Submit

* indicates a required field