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Get NJ Internal Affairs Complaint/Report Form

Nal use only. DEPARTMENT ORI NO. INTERNAL AFFAIRS CASE NO. PERSON MAKING REPORT (Complaints may be filed anonymously) NAME ALIAS ADDRESS CITY STATE AGE DOB ZIP SEX EMPLOYER/SCHOOL PHONE RACE (optional for statistical purposes only) PHONE ADDRESS CITY STATE ZIP INCIDENT NATURE OF COMPLAINT COMPLAINT AGAINST (NAME(s)) DATE TIME INCIDENT LOCATION DESCRIPTION OF INCIDENT BADGE NO(s) DATE/TIME REPORTED DIST/AREA HOW REPORTED BEAT DESCRIPTION OF ANY INJURIES PLACE OF TRE.

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