2. Use this form to file a complaint against a Town of Marlborough Police Department employee ONLY.  

   For all other complaints please contact the department directly at 845-795-2181.

4. Today's Date
   Today's Date

   Today's Date
6. Date & Time of Incident
   Date & Time of Incident

   Date & Time of Incident
8. Complainant Information (optional):
10. First Name
11. Last Name
13. Sex
15. Race
17. Address1
19. Address2
21. City
22. State
23. Zip
25. Email
27. Phone Number
29. Officer(s) Involved:
31. Details of Incident and Complaint:
33. Resolution Sought by You:
35. Do you wish to be contacted?

    1. Yes
    2. No
37. Are you willing to be interviewed if necessary?

    1. Yes
    2. No
39. Note:
    This form can be completed and filed anonymously if desired. (leave complainant information blank) The complaint will be investigated and brought to resolution even if it is filed anonymously. This report will become a permanent record maintained by the Town of Marlborough Police Department.
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

* indicates a required field