Grand Jury

Complainant Information

Do you want to file this complaint form anonymously?

First Name

Last Name

Home Phone

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Address

City

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Complaint Against

Parties Information

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Provide a brief description of the problem

How would you like this matter resolved?

List all departments or agencies you have contacted about this problem.

All documents submitted become property of the Grand Jury and will not be returned. Every person who makes a report to the Grand Jury that a felony or misdemeanor has been committed, knowing the report to be false, is guilty of misdemeanor (Penal Code 148.5(d)). I certify (or declare) under penalty of perjury that the foregoing is true and correct.

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