Division of Capitol Police

Commonwealth of Virginia

CITIZEN COMPLAINT FORM
* denotes required fields.

Citizen Information
Name:  *
Address [Street / RFD]:  *
Town/City:  *
State:  *
Zip Code: -  *
Home Phone Number: - -
Work Phone Number: - -

Complaint Information
Date:
Location:
Name or description of person(s) against who complaint is lodged:
Nature of Complaint: *