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Albany Police Department & Community Police Review Board COMMUNITY COMPLAINT FORM The Albany Community Review Board (CPRB) encourages any persons who believe that they have a legitimately founded complaint of police misconduct to lodge such complaint with the Albany Police Department (APD) or with the CPRB. Such alleged misconduct includes but is not limited to: complaints of excessive use of force, or violation of civil rights (the definition of which shall include complaints pertaining to sexual orientation). The goals of the CPRB are: to improve communication between the Police Department and the community, to increase accountability and credibility with the public, and to create a complaint review process that is free from bias and informed of actual police practices. Because of the important public trust exercised by all members of the Albany Police Department and the importance of maintaining that trust and the integrity of the Department, it is the responsibility of the Department to investigate and thoroughly every complaint and accusation made against a police officer in order to protect that officer, the Department and the residents of the City of Albany. The CPRB will review every complaint investigation from beginning to end. The Board recognizes that completing the Community Complaint Form and submitting or filing such complaint can be intimidating and stressful. The Board, therefore, has arranged with supportive civic groups and organizations to provide assistance in filling out the Complaint Form, and in following up the complaint process. The Board believes that these good faith offers of assistance to individuals who wish to lodge a complaint will serve not only the individual, but also the community at large and the Albany Police Department. A list is provided of agencies that have agreed to be of assistance to those filing complaints in completing the Complaint Form and, if requested, will provide assistance in being present during the course of the investigation of the complaint. A completed Form may be filed: at any station of the Albany Police Department or submitted to the Albany Community Police Review Board at the Government Law Center, Albany Law School, 80 New Scotland Ave. Albany, NY 12208-3494 in person via mail email at [EMAIL REDACTED] fax at [PHONE REDACTED] Please note: The Complaint Form must be signed by the complainant herself /himself. For more information, please visit our website at www.albanylaw.edu/cprb. ---PAGE BREAK--- Organizations Where Complaint Forms are Available & Assistance is Offered in Completing Forms Albany Community Development Agency 200 Henry Johnson Boulevard, Albany, NY 12210 Phone: [PHONE REDACTED] Albany Housing Authority - Administration Building 200 South Pearl Street, Albany, NY 12202 Phone: [PHONE REDACTED] Center for Law & Justice 220 Green Street, Albany, NY 12202 Phone: [PHONE REDACTED] New York Civil Liberties Union - Capital Region Chapter 90 State Street. Suite 518, Albany, NY 12207 Phone: [PHONE REDACTED] Pride Center of the Capital Region 332 Hudson Avenue, Albany, NY 12210 Phone: [PHONE REDACTED] Additional Location Where Complaint Forms are Available Albany Public Library (All Branches) Community Action of New York 94 Central Ave, Albany, NY 12206 Phone: [PHONE REDACTED] Government Law Center Albany Law School 2 Notre Dame Drive, Albany, NY 12208 Phone: [PHONE REDACTED] State University at Albany - EOP Office 1400 Washington Avenue, LI94, Albany, NY 12222 Phone: [PHONE REDACTED] ---PAGE BREAK--- Albany Police Department & Community Police Review Board COMMUNITY COMPLAINT FORM **Please review page 3 for important information regarding this Complaint Form.** Name of Individual filing complaint Phone No. Email Optional Information: The following information is being collected for statistical purposes and is entirely optional. The completion or not of this information will not in any way affect the outcome of the investigation. Gender_________ Race/Ethnicity__________ Occupation_________ Identification of Police Department Employee(s) involved in incident, if known: Shield Vehicle Description of Employee: Gender:____ Race/Ethnicity_________ Uniformed? Y or N Shield Vehicle Description of Employee: Gender:____ Race/Ethnicity_________ Uniformed? Y or N Witnesses to the incident and/or individuals with relevant knowledge. Provide Names, Addresses and Phone Numbers ---PAGE BREAK--- Person assisting in completing this complaint: Details of the Complaint, include circumstances of Police contact (Attach additional pages if needed): I realize that it may be necessary in the investigation of this complaint for me to meet with Officials of the City of Albany and/or the Community Police Review Board to discuss this complaint. I understand that if my complaint results in a legal proceeding my testimony at such proceeding may be needed and I hereby agree to make myself available if required to do so. I hereby affirm that the foregoing information is true and complete to the best of my knowledge and belief.