Medford Police Department
100 Main Street, Medford, Massachusetts USA 02155
Chief Leo A. Sacco, Jr.

"Quality Policing Through Community Involvement"

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Department IA Complaint Form

Keep in mind that this online reporting does not replace or circumvent the department's policy requiring that any official complaint against an officer must be made by an identified person. Also this initial report must be followed up by an interview and signed complaint. Note however, that one can file a complaint online ANONYMOUSLY, we require that you or your authorized agent by available for follow-up questions.

Auto Complaint Number# _________________________

Please fill out the below requested information

Note: false, accusatory or malicious reports will be investigated

Subject Officer's Name, Rank, Badge Number
Officer's Description
Officer's Police Vehicle # 
Other Officer's Present Names, Ranks, Badge# 
Witnesses1 Name/Telephone
Witnesses2 Name/Telephone
 Incident Location
Incident Time/Date
Incident Call Type
Complainant Name
Complainant Address
City, State, ZIP
Complainant Telephone  
Complainant Beeper/Cell
Your Business Telephone 
Complainant Business Address

Description of Incident:

Please Read & Acknowledge

I have read this complaint report and I truly declare and affirm that the statements contained herein are accurate, true and complete to the best of my knowledge and belief. I am, am not willing to testify at any hearing in connection with this complaint.

By pressing the submit feedback button, you have officially submitted this form to the departments Internal Affairs Unit.

 (Please fill-out this form and print it. You may deliver this form to the Commanding Officer
at MPD, or directly to Internal Affairs)