Community Input / Complaint Form - Forsyth Tech Community College

Forsyth Tech Campus Police Community Input/Complaint Form

Do you wish the information in this form to be kept confidential?(Required)

Yes

Your Name(Required)

First Last

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I have a…

Complaint

Comment

Suggestion

Write in detail below, the nature of your Complaint, Comment and/or Suggestion.(Required)

If Applicable, please provide Date of Incident, Time of Incident, and Location of Incident:

If Applicable, please provide Witness Names, Addresses, and phone numbers:

If action was taken against a person, please list their name, address, and phone number if known:

If Campus Police Officers were involved, list their names if known: