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2. Online Complaint Form

   You may use this form to file a complaint with the Lebanon Police Department. We encourage you to provide as much information as possible. It is helpful to the Professional Standards Bureau to be able to follow up on information or speak to people involved in the incident to gather evidence. Please visit LebanonNH.gov/LPDComplaint for details about how complaints are handled.

   
   

   Do not use this form to report crimes. Please call 911 or 603-448-1212 to report a crime.

6. Your Information
   This information will be used to contact you if necessary.
8. Last Name
10. First Name
11. Middle Initial
13. Street Address
15. City
16. State
17. Zip Code
19. Email Address
20. Date of Birth
    Date of Birth
22. Primary Phone
23. Alternate Phone
25. Voluntary Personal Information
    The following information is voluntary but helpful to know. If you do not wish to provide an answer, please choose "Decline".
27. Gender *

    1. Male
    2. Female
    3. Transgender Male
    4. Transgender Female
    5. Non-binary
    6. Other
    7. Decline
29. Racial/Ethnic Background *

    1. Asian
    2. Black/African American
    3. Hispanic/Latino
    4. Native American
    5. Pacific Islander
    6. White
    7. 2 or More
    8. Other
    9. Decline
33. Incident Information
    This information will be used to investigate the incident.
35. Date and Time of Incident
    Date and Time of Incident

    Date and Time of Incident
37. Location*
39. Name of LPD Officer/Employee (if known)
41. Name of Witness(es) or Others Involved (if applicable)
43. Witness Phone
45. Do you have photographs or video relevant to this incident?*

    1. Photos
    2. Video
    3. Both
    4. No
47. Statement/Description of Incident*
49. Truth and Accountability
    The Professional Standards Bureau exists to ensure professional and accountable law enforcement for the citizens of Lebanon. Honest feedback is essential to maintaining a police department that is both trustworthy and responsive to the community. Therefore, it is critical that truthfulness be maintained in the filing and investigation of complaints against the police.
51. Certification*

    1. I hereby certify that the information in this complaint is true and correct to the best of my knowledge and belief.
52. Initials*
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field