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: ____________