Online Employee Conduct Form - City of Champaign

Champaign Police Department Employee Conduct Form

Step 1 of 6

Please complete each section below for a complaint or commendation. If you need assistance completing this form, please contact the Champaign Police Department Professional Standards office at 217-403-6913 or the City's Equity and Engagement Department at 217-403-8830.
- If you have been arrested, you are strongly encouraged to discuss your charges with an attorney.
- If any information you provide requires clarification, we will contact you.
- If you are filing a formal complaint, we need to be able to contact you, and you may be asked to meet with us in person.
- Please refer to the Employee Conduct Form Instructions Sheet before completing this form.
Is this a complaint or a commendation? (select one)
- Complaint
- Commendation

Your Information
Name*
First Middle name or initial Last
Address*
Street Address City State ZIP Code
Mobile Phone Number*
Home Phone Number
Work Phone Number
Email Address
Other Contact Information
Age*

(required for statistical data)
Race*

(required for statistical data)

Witness Information
Name
First Last
Address
Street Address City State ZIP Code
Phone
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Evidence Information
Occasionally, citizens have evidence or documentation that supports their complaint allegations. If so, please indicate what evidence or documentation you have, and be willing to provide a copy to the Police Department so that a thorough investigation can be completed.
File Attachments
Drop files here or

Max. file size: 50 MB.