Submit a Complaint Please use the form below to submit a complaint regarding a member of the Taylorville, Illinois Police Department. Police - Complaint Form Report Date * Your Name (Complainant) * Date of Birth * Phone * Street Address * Employer Employer Phone Date/Time of Incident * Address/Location of Incident * Witness(es): Name, Address & Phone (If Applicable) The complainant in this matter is either unknown, unable, or unwilling to swear out the affidavit. The information contained in this form is a true and accurate summary of the incidents as related to me by the complainant. Name (Police Department Member) * Summary of Occurrence/Complaint * Acknowledgements * I understand, and it is my desire, that this complaint be investigated diligently. I declare that the allegations contained in this complaint are true. I also understand that it is a violation of 720 ILCE 5/26-1(a) (4) to willfully make a false report. In the event the report is proven to be false, the information will be provided to the State's Attorney's Office for possible prosecution. E-Signature (Complainant) * Submit If you are human, leave this field blank. Skip back to main navigation
