310 E Nine Mile Road Ferndale MI 48220
(248) 541-3650
DO NOT COMPLETE THE INFORMATION BELOW IF YOU WISH TO REMAIN ANONYMOUS
Full Name
Full Address
Witness #1
Witness #2
Witness #3
Please fill out a narrative description of the event. Please be as detailed as possible because you may have to give sworn testimony of this incident in a court of law or a hearing at a later date.
Date & Time of Complaint
