Date of Incident *Road/Street/Avenue *Parish *Kingston and St. AndrewPortlandSt. ThomasSt. CatherineClarendonManchesterSt. ElizabethWestmorelandHanoverSt. JamesTrelawnySt. AnnSt. Mary Complainant’s Name *Complainant’s telephone number or email address *Complainant’s Gender *MaleFemale Name of Alleged Victim *Alleged Victim’s Telephone Number Alleged Victim’s Gender *MaleFemale Type of Incident *Abuse of OfficeArsonAssaultCorruptionDestruction of PropertyDischarge of FirearmFatal shootingIllegal EntryIllegal SearchMisappropriation of propertyNeglect of duty (incl. non action)Perversion of the course of justiceSeizure of PropertySexual offencesShooting – Non-fatalThreatUnlawful or unduly long detentionUnprofessional conductWrongful arrestWoundingSummary of Incident *Disclaimer The complainant understands that this is a preliminary incident report and that he or she will be contacted and asked to visit one of INDECOM’s offices to make a formal statement. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: