Thank You for Your Submission

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Champlin Police Department Complaint Form

  1. This form is used to report allegations of misconduct by a police officer, 911 dispatcher, office staff or other member of the Champlin Police Department.  

    The Champlin Police Department takes complaints against any staff member very seriously. The Champlin Police Department accepts and documents all complaints and investigates them where warranted. If you provide contact information, you will be notified if an investigation into the allegation is warranted and the findings when the investigation is complete.

    You are not required to provide contact information, and there are no penalties for leaving these fields blank. However, declining to provide information may affect the investigation of the complaint. Please note that intentionally providing false information could subject you to criminal or civil consequences.

  2. Contact Information for Person Making the Complaint

  3. Electronic Signature Agreement

    Public Data Advisory*

    The information you are being asked to provide is classified as “public," “private” and “confidential” pursuant to the Minnesota Government Data Practices Act. The purpose of collecting this information is to appropriately investigate your complaint. You are not required to supply the requested information, but not doing so will hinder the investigation of your complaint. The information you provide can be accessed by others in accordance with the Data Practices Act.

    Your information will be used as part of the total evidence to determine if misconduct occurred and, if so, whether any disciplinary or corrective action should be taken. Your information may be used in meetings, hearings or procedures such as grievance hearings, an arbitration process or other appeal procedures, and you may be required to testify.

    The following individuals and entities may have access to the information you provide:

    • Employees and officials of the City of Champlin whose work assignments reasonably require access to the information
    • Other persons or entities authorized by a state or federal law, or by court order, to have access to such information
    • If disciplinary action is taken based on the results of this investigation, the information you provide may be available to others and the public as documentation supporting final disciplinary action
    • The subject(s) of the data
    • Management/administrators/supervisors whose input may be necessary for the decision-making process; exclusive representatives; employees of the Minnesota Department of Employee Relations; arbitrators; state and federal courts; state and federal human rights enforcement entities; appropriate licensing entities and agencies; the Re-employment Compensation Division of the Department of Economic Security; law enforcement agencies and prosecutorial authorities; transcription services; individuals or entities with contracts providing access to the data; and counsel for parties to litigation pursuant to a court order

    Please be advised that Minnesota law (Minnesota Statute 609.505) makes it a criminal offense to make a knowingly false and defamatory report of police officer misconduct.

  4. Leave This Blank:

  5. This field is not part of the form submission.