Compliment/Complaint Form - Westhampton Beach, NY

I wish to file a (please check one):
If you would like to compliment a Westhampton Beach Police Department employee, or file a complaint against a police employee. Personal information will not be disclosed to the public, unless required bylaw. If this is concerning an incident or to advise the Police Department of unsafe conditions, you must call (631) 288-3444 to request to speak with an officer.
- Compliment
- Complaint
Do you wish to remain anonymous?
- Yes
- No
Reply Email
Are you filing this on behalf of someone else?
- Yes
- No
Police Officer or Employee involved
Name or ID # of Officer or Employee
Narrative Section
Date
Month
Day
Year
Time

: Hours

Minutes
Location or Address of Incident:
Street Address Address Line 2
Witness Name:
First Last
Witness Address, City State & Zip
Street Address Address Line 2 City State ZIP Code
I attest that the above information and my statement are true and correct to the best of my recollection.
Enter First and Last Name Digital Signature Submittal
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Name
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