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Complaint Form

To submit a complaint, fill out the form below, which will be immediately submitted to a Police Supervisor.

You may also download the PDF version here and submit in person to a Police Supervisor or send it to the Chief of Police of this agency at the following address or email: Chief Louis J. Fusaro JR., Groton Police Department, 68 Groton Long Point Road Groton, Connecticut 06340. Email: lfusaro@groton-ct.gov

"*" indicates required fields

MM slash DD slash YYYY
Time of Incident
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Time Reported
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Name or physical description, Bade#, Car#, etc
Name, Date of Birth, Address, Telephone#, etc

Answer the Following Questions

1. To your knowledge, was all or any part of the incident complained of video or audio taped by anyone?
2. Are you afraid for your safety, or that of any other person, for any reason as a result of making this complaint?
3. Has anyone threatened you or otherwise tried to intimidate you in an effort to prevent you from making this complaint?
4. Are you able to read, write, and speak the English language?
5. If your answer to Question #4 is "no" or "unsure", have you been provided with adequate language assistance to help you understand and complete this form?
If you have answered “Yes” to any of the above questions, please provide details below.)
Please provide a full description of the circumstances that prompted your complaint. Attach supporting documentation, as appropriate; including letters, e-mails, photographs, video or audio tapes, etc. (If you answered “Yes” to any of the above questions, please provide details below)
Max. file size: 50 MB.
If you have any other supporting documentation you wish to include, please attach here.
Preferred Method of Contact
Consent*
Signature
By affixing your name in this field, it effectively signs the complaint and documents your acknowledgement of the consent advisory above.
MM slash DD slash YYYY
Time
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Groton, CT Police

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