Lordsburg Police Department

Rodney Plowman

Chief of Police

Lordsburg Police Department Mission

Committed to excellence in providing high-quality service in our community in a professional and courteous manner by working in partnership with the community to improve quality of life issues.

Employee Compliment or Complaint Form

Today's Date *

Name *

First

Last

SSN#

Complainant's Date of Birth *

Drivers license # *

State *

Complainant's Address *

Address Line 1

City

State

Zip Code

Home Phone *

Work Phone

Email Address *

Receive an email copy of this form.

Receive an email copy of this form.

Involved Officer(s) Name(s) *

Nature of Complaint or Commendation *

Date of Occurrence *

Date

Time

Location *

Witness Name

Home Phone

Work Phone

Witness Name

Home Phone

Work Phone

Witness Name

Home Phone

Work Phone

Statement of Facts *

I hereby swear and affirm under penalty of law that all of the statements I provide to members of the Lordsburg Police Department are true and correct to the best of my knowledge.

Your Signature

Clear Signature

Lordsburg Police Department

Rodney Plowman