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Complaint Form

Complaint Form
Please complete this form if you wish to file a complaint against the Las Cruces Police Department, a unit, team, officer or an employee.
All complaints are reviewed by LCPD's Internal Affairs Unit. Please complete this form to the best of your ability.
Note the asterisk (*) indicates a required field.
Resident or Citizen Filing Complaint:
First Name*
Last Name*
Email Address
Physical Address*
City*
State*
Zip Code*
Phone Number
Cell Phone Number
First Name (if minor child or different from above)
Last Name (if minor child or different from above)
Mailing Address (if different from above)
City (if different from above)
State
Zip Code
I hereby state:
I have read the attached statement for accuracy and its entirety and have been given the opportunity to make corrections and emend this statement.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that: 1, your application will not be signed in the sense of a traditional paper document; and 2, by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature; and 3, you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*
First Name of Electronic Signature above*
Last Name of Electronic Signature above*
Date & Time*
Date & Time
Date & Time
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Additional Information Page (include additional witnesses, information, etc., here)

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