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LCityof <br />Louisville <br />COMPLAINT FORM <br />This Complaint form should be used for Complaints against the following City of Louisville <br />officers: <br />• City Manager <br />• City Attorney <br />• City Prosecutor <br />• Municipal Judge <br />Please read the Instructions and Information that accompanies this Form. You may state your <br />Complaint below or in a letter attached to this Form. Please attach any documents relevant to <br />your Complaint. <br />SUBJECT OF COMPLAINT COMPLAINING PARTY <br />Officer Name: Name: <br />Officer Title: Street Address: <br />Date(s) of Incident(s): City, State, and Zip Code: <br />Primary Phone: <br />Email: <br />Nature of Complaint: <br />By signing below, I declare under penalty of perjury that the statements set forth in this <br />Complaint are true and accurate, and that the Complaint is filed in good faith and not out of <br />malice or any other improper motive or purpose. <br />Signature: Date: <br />