Nashville Community Review Board Police Complaint Form

The Nashville Community Review Board accepts complaints and commendations regarding sworn officers of the Metro-Nashville Police Department (MNPD).
Complaints may be submitted anonymously and will be treated with the same importance as any other complaint.

Information About You

Would you like to remain anonymous?

Yes

First name

Middle name

Last name

Home Phone

Cell phone

Work phone

Best time to call

Date of birth

Address

Address 2

City

State

ZIP code

Incident Information

Incident date and time

Incident address

Incident address 2

Incident city

Incident state

Incident zip code

Police employee

Re-order	Police employee name	Police employee ID number	Weight	Operations
	Police employee name	Police employee ID number	Item weight

more items

Police Employee Description

If you do not know the officer’s name or badge number, please provide a physical description or any other identifying information you may have observed (for example: the officers height, weight, hair color, tattoos or other distinguishing features, type of vehicle, vehicle identification number, etc.)

Are you submitting this for someone else?

Yes

Did you witness the incident?

Yes

Name of person you are submitting this form for

Phone number of person you are submitting this form for

Additional witness name

Additional witness phone

Additional witness address

Additional witness address 2

Additional witness city

Additional witness state

Additional witness zip code

Briefly summarize what happened.

It is important to provide as much information as possible describing the incident in full detail including: Location, date, time, officer/employee(s) involved and witnesses. If names are not known, please include a detailed description of the officer(s) involved.

Additional documentation

If you have photographs or documents of the incident, you may upload one (1) file here. Preserve any additional files—they will be collected by NCRB staff when they contact you.

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Demographic Information

Providing any demographic information requested below is entirely optional. Demographic information helps Nashville Community Review Board staff identify where we can assist Complainants on a as needed basis.

Do you speak and understand English?

Yes

Preferred language

I will need translation services

Outcome Seeking

Are you interested in mediation?

Mediation is a voluntary process in which a member of the public may request to sit down with the MNPD officers involved in an incident, rather than having the officers investigated and potentially disciplined.

By clicking “Yes,” you are acknowledging that the complaint process will end once mediation is complete.

Yes, I would like to discuss mediation as an option.

No, I am not interested in mediation.

Is there a specific outcome you are seeking?

(For example: Officer discipline, officer promotion, change in MNPD policy, etc.)

Acknowledgment

I acknowledge that the information provided in this statement is true and factual to the best of my knowledge and will become public record once filed.
I understand that I may be required to answer questions by personnel from the Office of Professional Accountability.
I understand that if I file a complaint, it is unlawful and against Metro Nashville Police Department Policies for anyone to retaliate against me for the filing of this complaint.

By checking this box, I certify that I acknowledge the statements above.