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Department of Investigation
On-line Complaint Form

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* Brief Description of Complaint:
   Please include other relevant information, such as plate #, VIN #, license #, address, location, etc. (200 words or less)
Complaint Concerns:  
Individual
  Company/Business
 
Subject Information:
Please enter as much information as you can regarding the primary person, or company/business allegedly involved in the complaint.
If the Subject Is a Person:    
First Name:
 MI:
Last Name:
Please provide the following if known, or skip to next.
Nickname:
Other Names:
Date of Birth.:
Soc. Sec. No.:
Title:
     
Physical Description:
If the Subject Is a Company/Business:
Company Name:
   
Please provide the following if known, or skip to next.
Street Address:
Apt./Suite #:
City:
State:
  Zip Code:
Phone No.:
EIN No.:
Is there another subject involved?
(Please include in the next section if there are no witnesses.)
Yes
No
Witness/Subject/Other Person Involved:
Please enter as much information as you can regarding an alleged witness, other person or other company/business involved.
Is this a witness, second subject, other person or other company/business?  
Witness
Second Subject
Other Person
Other Company/Business
If It Is a Witness or If the Subject Is a Person:    
First Name:
 MI:
Last Name:
Please provide the following if known, or skip to next.
Nickname:
Other Names:
Date of Birth.:
Soc. Sec. No.:
Title:
     
If the Subject Is a Company/Business:    
Company Name:
   
Please provide the following if known, or skip to next.
Street Address:
Apt./Suite #:
City:
State:
  Zip Code:
Phone No.:
EIN No.:
Are there any additional witnesses/subjects/other persons/other company/business involved?
(Please include additional witnesses/subjects/other persons/other companies/businesses in the Description Section above.)
Yes   No
 
Complainant Information:
Please note:
Providing contact information is not required but it will help us to process your complaint. We treat your contact information as strictly confidential and acknowledge receipt of your complaint.
I will provide my contact information below.
I would like to remain anonymous.
If you choose to remain anonymous, please contact our Complaint Bureau at 212- 825-5959 in the future to find out the progress of this complaint as well as provide us more information.
First Name:
 MI:
Last Name:
Street Address:
Apt./Suite #:
City:
State:
  Zip Code:
E-mail Address:
 
Employer Name:
 
Name of Agency If Employed by the City of NY:
Phone Numbers (including area code):    
Home:
Work:
 Ext.:
Other Phone Numbers that can reach you:
   
  Be Advised:  
While data entered into this form will be encrypted and remain confidential, the mail server will record your IP address when you click on the Submit Complaint Button. If you want this complaint to remain completely confidential, please follow the instructions in the Complaint by Mail section.
  

Notification Disclaimer:
Communications made through this electronic mail and message system shall in no way be deemed to constitute legal notice to the City of New York or any of its agencies, officers, employees, agents, or representatives, with respect to any existing or potential claim or cause of action against the City or any of its agencies, officers, employees, agents, or representatives, where notice to the City is required by any federal, state or local laws, rules, or regulations.

 

 Go to Complaint by Mail

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