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Compliment / Complaint Form

boston college police department

Mail to: John M. King, Director of Public Safety
Boston College Police Department
21 Campanella Way, Chestnut Hill, MA 02467
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Employee's Name _________________________________________________
Employee's ID Number ____________________

  • Police Officer
  • Dispatcher
  • Security Officer
  • Gate Attendant
  • Other

Nature of Incident: ________________________________________________________

Date, Time and Location of Incident: ____________________________________________

Witness: (Name, address, and phone): ___________________________________________

Explain what occurred: (you may attach additional pages if necessary)

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Name: _________________________________________

Address: _____________________________City: _____________ State: ____ Zip: _______

Email Address: ___________________________________ Telephone: __________________

Signature: _________________________________________________ Date: ____________

Signature of Police Official: ____________________________________ Date: ____________