I, (Complainant Name), do hereby swear (or affirm) that the factual allegation(s) made by me above in this Citizen’s Complaint are, to the best of my knowledge and belief, true and based upon fact. Every law enforcement officer or correctional officer shall have the right to bring civil suit against any person, group of persons, or organization or corporation, or the head of such organization or corporation for damages either pecuniary or otherwise, suffered during the performance of the officer’s official duties, for abridgment of the officer’s civil rights arising out of the officer’s performance of official duties, or filing a complaint against the officer which the person knew was false when it was filed.
State of Florida County of ____________________ The foregoing instrument was acknowledged before me this ______day of________, 20___, by __________________________________. ___________________________________Signature of Notary Public – State of Florida __________________________________________(Print, Type or Stamp Commissioned Name of Notary Public) Personally known______ OR Produced Identification______ Type of Identification Produced __________________
____________________________________________Officer's Signature____________________________________________Printed Name of Officer____________________________________________Title or Rank
This field is not part of the form submission.
* indicates a required field