UNIVERSITY OF OKLAHOMA POLICE DEPARTMENT

COMPLAINT

9/18/2023	BY WHOM RECEIVED:

Complainant:	OU ID#/DL# & State:	DOB:

Mailing Address:	Telephone #:

Email Address:

Subject Officer Name or Description:

Date and Time of Incident:	Incident Location:

SUMMARY OF INCIDENT:

Continued on Additional Page(s):	Attached	Total Number of Page(s):

Signature of Complainant:

Action Requested:	Information Only	Reprimand	Termination Charges Not-Specified

** Sections below are for internal department use only. **

Intake Member:	Type Intake: Telephone	Email In Person

Chief Review Date:

Follow-Up Action:	Supervisory Review	Admin. Review

Internal Inv.

Deputy Chief Review Date:	Complaint Number:

Supervisor Assigned:	Relevant Call/Case Number

Date Investigation Begun:	Date Investigation Finished:

Date of Final Action:

Summary of Final Action:

Unfounded	Exonerated	Not Sustained	Sustained

Policy Failure