Police Accountability Board Complaint Form

COMPLAINANT INFORMATION

Are you filing this on behalf of someone else?

Complainant First Name *

Complainant Last Name *

Phone Number *

Secondary Number

Email *

Street Address *

Street Address 2

City *

State *

Zip *

Optional: For Statistical Purposes Only. The Police Accountability Board is requesting this information to help the PAB track biases and trends

Age

Gender

Preferred Pronouns?

Ethnicity

Race

INCIDENT DETAILS

Incident Date and Time *

Incident Location Name

Incident Street Address *

Incident Street Address 2

City *

State *

Zip *

Incident Description *

File Upload

Please upload any relevant documentation or images here (25 MB limit). You can submit additional evidence after speaking with an Investigator. If you receive a “Maximum File” error, please upload again.

Drop files here or click to upload

OFFICER INFORMATION

Note: If unknown, please indicate “Unknown”. Please identify and describe the officer(s) involved in your complaint to the best of your ability. Helpful descriptions include: gender, age, ethnicity, height, weight, and build. List any other characteristics that you remember, such as facial hair, eyeglasses, tattoos, or scars, as well as info on vehicle(s) driven.

Select more than 1 if applicable

Law Enforcement Personnel 1 Remove Officer First Name * Office First Name required Last Name * Office Last Name required Badge # (If known) Agency * Officer Agency required Other Description

Law Enforcement Personnel 1

Remove Officer

First Name *

Last Name *

Badge # (If known)

Agency *

Other Description

Add New Officer

WITNESS INFORMATION

Select more than 1 if applicable

Add Witness

ADDITIONAL INFORMATION

You may provide any additional information that is relevant to this incident below:

To ensure the accuracy of the information provided, please review your complaint form prior to clicking the “SUBMIT” button.
You will receive a confirmation and a case number after your complaint form has been submitted.
The PAB will forward your complaint to the appropriate law enforcement agency within 3 days of submission.
You will receive follow-up from the law enforcement agency conducting the investigation.
The law enforcement agency will designate a victims’ rights advocate to act as a point of contact for your complaint. This advocate
For questions or information, you may contact the PAB at: 301-883-5042 or pgpab@co.pg.md.us.

Consent

Checking this box and submitting this form to the Police Accountability Board indicates that I have reviewed the information and certify it is true to the best of my knowledge. Please check Consent