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2. To file a complaint regarding an employee of the Pensacola Police Department fill out this form and return it to: Pensacola Police Department, Internal Affairs, PO Box 1750, Pensacola, FL 32598-1750. This form may also be delivered, in person, to the Pensacola Police Department, which is located at 711 N Hayne St., Pensacola, Florida.

4. State Statute 837.06 False official statements
   Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree.
6. Florida State Statute 112.533 Receipt and processing of complaints
   Any person who is a participant in an internal investigation, including the complainant, the subject of the investigation and the subject's legal counsel or a representative of his or her choice, the investigator conducting the investigation, and any witnesses in the investigation, who willfully discloses any information obtained pursuant to the agency's investigation, including, but not limited to, the identity of the officer under investigation, the nature of the questions asked, information revealed, or documents furnished in connection with a confidential internal investigation of an agency, before such complaint, document, action, or proceeding becomes a public record as provided in this section commits a misdemeanor of the first degree
8. Complainant's Name:
9. Date:*
   Date:
11. Address:
13. Daytime Phone:
15. Date / Time of Incident:*
    Date / Time of Incident:

    Date / Time of Incident:
17. Location of Incident:*
19. Name of Officer(s) / Employee(s) involved, if known:*
21. Witnesses, if known:*
23. Nature of Complaint: (Summary)*
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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