Misconduct Complaint SECTION 1: BASIC INFORMATION Date of Incident: * MM DD YYYY Time of Incident: * Hour Minute Second AM PM Initial Complaint Received By: * Civilian Another Officer Supervisor Other SBI Investigator(s) Involved in Investigation: * SECTION 2: EMPLOYEE INFORMATION Involved Agency: * San Andreas Highway Patrol Blaine County Sheriff's Office Municipal Police Department San Andreas Fire and Rescue SECTION 3: NATURE OF ALLEGED MISCONDUCT Type of Misconduct (Check all that apply): * Abuse of Authority Unprofessional Conduct Insubordination Dishonesty / False Reporting Criminal Behavior Policy/Procedure Violation Conduct Unbecoming Conflict of Interest Brief Summary of Allegations: * Location of Incident (if applicable): Witnesses (if any): SECTION 4: EVIDENCE Does bodycam footage exist: * Yes No SECTION 5: FINDINGS Was a policy violation identified? * Yes No SECTION 6: CERTIFICATION I certify that the information in this report is accurate and based on an impartial investigation conducted under the authority of the State Bureau of Investigations. * I Agree Thank you!