Page 1 of 1

Complaint Submission Form

Posted: Thu May 21, 2026 2:45 pm
by Los Santos Sheriff's Department
Image
LOS SANTOS SHERIFF’S DEPARTMENT

INTERNAL AFFAIRS COMPLAINT FORM

To formally submit this Internal Affairs Complaint, the completed form must be sent through the forums by private message.

Submission Instructions:

1. Copy the completed Internal Affairs Complaint Form in full.

2. Open the forums private messaging system.

3. Create a new private message addressed to:
IAD: Command
Image

4. Use the following subject line format:
Internal Affairs Complaint - Your Name
5. Paste the completed complaint form into the body of the private message.

6. Attach or link any supporting evidence, if available, including screenshots, video footage, audio recordings, documents, or witness statements.

7. Submit the private message to the IAD: Command group.

Important Notice: Complaints should be submitted as soon as reasonably possible after the incident. The complainant should provide accurate, complete, and truthful information to assist the Internal Affairs Division with reviewing the matter. Complaints that are incomplete may still be reviewed, but missing information may delay the investigation process.

Confidentiality Notice: Internal Affairs complaints are reviewed by authorized personnel only. Do not post complaint forms publicly on the forums. All complaints must be submitted privately to the IAD: Command group.

Code: Select all

[center][img]https://solsroleplay.com/uploads/media/2026/05/4dab528fe4e1f486d5d39442b78f69e5.webp[/img][/center]

[center][size=150][b]LOS SANTOS SHERIFF’S DEPARTMENT[/b][/size]
[size=120][b]INTERNAL AFFAIRS COMPLAINT FORM[/b][/size][/center]

[hr]

[b]Instructions:[/b] This form is used to submit a formal complaint regarding the conduct of an employee of the Los Santos Sheriff’s Department. Please complete all applicable sections with as much detail as possible. False or intentionally misleading statements may result in administrative or legal consequences.

[hr]

[size=120][b]I. COMPLAINANT INFORMATION[/b][/size]

[b]Full Name:[/b] 
[b]Date of Birth:[/b] 
[b]Phone Number:[/b] 
[b]Email Address:[/b] 
[b]Residential Address:[/b] 

[b]Preferred Method of Contact:[/b]
☐ Phone  
☐ Email  
☐ Mail  
☐ In-Person  

[b]Are you filing this complaint on behalf of yourself?[/b]
☐ Yes  
☐ No  

[b]If no, please explain your relationship to the involved party:[/b]


[hr]

[size=120][b]II. INCIDENT INFORMATION[/b][/size]

[b]Date of Incident:[/b] 
[b]Approximate Time of Incident:[/b] 
[b]Location of Incident:[/b] 
[b]LSSD Case / Report Number, if known:[/b] 

[b]Type of Contact with LSSD Personnel:[/b]
☐ Traffic Stop  
☐ Arrest / Detainment  
☐ Call for Service  
☐ Jail / Custody Incident  
☐ Civil Dispute  
☐ Use of Force Incident  
☐ Search / Seizure  
☐ Other: 

[hr]

[size=120][b]III. NATURE OF COMPLAINT[/b][/size]

[b]Please check all that apply:[/b]

☐ Discourtesy / Unprofessional Conduct  
☐ Excessive or Unnecessary Force  
☐ Improper Search or Seizure  
☐ False Arrest / Improper Detainment  
☐ Discrimination / Bias-Based Conduct  
☐ Harassment / Retaliation  
☐ Neglect of Duty  
☐ Abuse of Authority  
☐ Policy Violation  
☐ Criminal Misconduct  
☐ Failure to Take Appropriate Action  
☐ Other: 

[hr]

[size=120][b]IV. INVOLVED LSSD EMPLOYEE INFORMATION[/b][/size]

[b]Deputy / Employee Name:[/b] 
[b]Rank, if known:[/b] 
[b]Badge Number, if known:[/b] 
[b]Division / Station, if known:[/b] 

[b]Were there additional LSSD employees involved?[/b]
☐ Yes  
☐ No  
☐ Unknown  

[b]If yes, list any additional names, badge numbers, vehicle numbers, or descriptions:[/b]


[hr]

[size=120][b]V. WITNESS INFORMATION[/b][/size]

[b]Were there any witnesses to the incident?[/b]
☐ Yes  
☐ No  
☐ Unknown  

[b]Witness #1 Name:[/b] 
[b]Phone / Contact Information:[/b] 
[b]Relationship to Incident:[/b] 

[b]Witness #2 Name:[/b] 
[b]Phone / Contact Information:[/b] 
[b]Relationship to Incident:[/b] 

[b]Additional Witnesses:[/b]


[hr]

[size=120][b]VI. EVIDENCE INFORMATION[/b][/size]

[b]Do you have any evidence related to this complaint?[/b]
☐ Yes  
☐ No  

[b]Evidence Type:[/b]
☐ Photographs  
☐ Video Recording  
☐ Audio Recording  
☐ Text Messages / Emails  
☐ Medical Records  
☐ Dashcam / Bodycam Request  
☐ Other Documents  
☐ Other: 

[b]Please describe the evidence and how it may be obtained:[/b]


[hr]

[size=120][b]VII. STATEMENT OF COMPLAINT[/b][/size]

[b]Please describe, in detail, what occurred. Include the actions, statements, and behavior of the involved employee or employees. Be as specific as possible regarding dates, times, locations, and sequence of events.[/b]

[quote]
Enter full statement here.
[/quote]

[hr]

[size=120][b]VIII. INJURY OR DAMAGES[/b][/size]

[b]Were you injured or did you experience damages as a result of this incident?[/b]
☐ Yes  
☐ No  

[b]If yes, please describe any physical injury, emotional distress, property damage, or other impact:[/b]


[b]Was medical treatment received?[/b]
☐ Yes  
☐ No  
☐ Not Applicable  

[b]Medical Provider / Facility, if applicable:[/b]


[hr]

[size=120][b]IX. REQUESTED RESOLUTION[/b][/size]

[b]What outcome or action are you requesting from the Los Santos Sheriff’s Department?[/b]

☐ Formal Investigation  
☐ Supervisor Review  
☐ Employee Discipline  
☐ Policy Review  
☐ Training / Corrective Action  
☐ Written Response  
☐ Meeting with Internal Affairs  
☐ Other: 

[b]Additional Comments Regarding Requested Resolution:[/b]


[hr]

[size=120][b]X. COMPLAINANT ACKNOWLEDGEMENT[/b][/size]

By submitting this complaint, I certify that the information provided is true and accurate to the best of my knowledge. I understand that the Internal Affairs Division may contact me for additional information and that failure to cooperate may limit the ability to investigate this matter.

[b]Complainant Signature:[/b] 
[b]Date:[/b] 

[hr]

[center][size=120][b]FOR INTERNAL AFFAIRS USE ONLY[/b][/size][/center]

[b]Complaint Received By:[/b] 
[b]Rank / Badge Number:[/b] 
[b]Date Received:[/b] 
[b]Time Received:[/b] 

[b]Method Received:[/b]
☐ In-Person  
☐ Phone  
☐ Email  
☐ Online Submission  
☐ Mail  
☐ Referred by Supervisor  
☐ Other: 

[b]Complaint Classification:[/b]
☐ Personnel Complaint  
☐ Policy Complaint  
☐ Service Complaint  
☐ Criminal Allegation  
☐ Inquiry Only  
☐ Other: 

[b]Priority Level:[/b]
☐ Routine  
☐ Elevated  
☐ Urgent  

[b]Assigned Investigator:[/b] 
[b]IA Case Number:[/b] 
[b]Date Assigned:[/b] 

[b]Preliminary Review Notes:[/b]

[quote]
Internal Affairs notes here.
[/quote]

[b]Disposition:[/b]
☐ Pending Review  
☐ Open Investigation  
☐ Sustained  
☐ Not Sustained  
☐ Unfounded  
☐ Exonerated  
☐ Administratively Closed  
☐ Referred to Command Staff  
☐ Referred to Outside Agency  

[b]Final Action Taken:[/b]


[hr]

[center][i]Los Santos Sheriff’s Department — Internal Affairs Division[/i]
[i]Integrity • Accountability • Service[/i][/center]