BIRMINGHAM POLICE DEPARTMENT
INTERNAL AFFAIRS DIVISION - REPORT OF COMPLAINT
Please fax all forms to 205-254-1751 or mail to 1710 1
st
Ave North
Birmingham, AL 35203.
The Birmingham Police Department is committed to offering the citizens of our community the
best possible law enforcement service available. This Citizen Complaint Form provides a way for
citizens to make us aware of any allegation of misconduct by a Birmingham Police officer.
If you have a complaint of misconduct by a BPD officer, please complete the form below. Please
be as accurate and detailed as you can. The most appropriate person to file a complaint is the
person who experienced or witnessed the alleged police misconduct. Anonymous complaints are
accepted. However, it is best for our investigators to be able to contact any involved citizen to
ensure a complete investigation is conducted. Parents or guardians may file a complaint on behalf
of their minor children.
The Internal Affairs Division will use the information provided to conduct an initial inquiry into
your complaint. This may take several days depending on the nature of the allegation. You will
be notified by mail verifying that we have received your complaint and again when the
investigation is complete.
Please note that if your complaint is with an officer who works for an agency other than BPD, you
will need to contact that agency to file your complaint. Additionally, issues related to a person’s
guilt or innocence on criminal charges or traffic violations MUST be addressed in court.
Date of Report Time of Report
Name of Complainant
Age D.O.B. Race Sex
Home Address Phone
City State/Province
ZIP/Postal Code Dr. Lic. or S/S#
COMPLAINT ALLEGATIONS
Name of Employee Involved in Incident
Race Employee Sex Employee ___
Employee #
Date of Incident Time of Incident ______
Location of Incident
Please describe your complaint (attach addition sheets of paper if necessary):
Notice: By affixing my signature below, I affirm that the information contained in this statement
of complaint is true and factual. I further understand that falsely reporting an incident with the
knowledge that the information reported, conveyed or circulated is false, may subject me to
criminal penalties under the provision of the General City Code of the City of Birmingham
and/or the Criminal Code of the State of Alabama. I have read, or have had read to me, the
information contained in the above report of complaint and take full notice of the fact that
making a false report may subject me to criminal penalties if the report is found to be false.
Signature: