	Baker County Sheriff's Office Citizen Complaint Form
The Baker County Sheriff’s Office strives to maintain relationships built on trust and confidence within our communities. When complaints arise, we prefer to meet with citizens in person to discuss the situation; however, we understand this is not always possible and this complaint form is available to the public and may be used to file a complaint against any member of the Baker County Sheriff’s Office. Complaints and concerns are taken seriously and will be investigated. *Please provide the following contact information. Fields with are required fields.**
*First Name
*Last Name
*Date of Birth
*Street Addr.
Address(cont.)
*City
*Zip Code
*Home Phone
Work Phone
E-mail

Please provide the following information about any witnesses.
First Name			First Name
Last Name			Last Name
Street Addr.			Street Addr.
City			City
Zip Code			Zip Code
Home Phone			Home Phone
Work Phone			Work Phone
E-mail			Email

Please provide the following information regarding the incident.
Location of the Incident

Date/Time of Incident

Name of Deputy/Employee Involved and/or Description

Names of Other Involved Deputies/Employees and/or Descriptions

*Brief Description of Incident