Complaint Form - Crowder

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    Default Report

    Displaying 745 of799 respondents

    Response Type:

    Normal Response

    Collector:

    Policeabuse.com Complaint form(Popup Window)

    Custom Value:

    empty

    IP Address:

    71.49.231.220

    Response Started:

    Tuesday, April 3, 2012 10:23:50 PM

    Response Modified:

    Tuesday, April 3, 2012 10 :48:29 PM

    1. Your full name (Jane Doe)

    warren crowder

    2. What is your age (the pe rson reporting the complaint)?

    47

    3. Telephone number

    863-272-5101

    4. Date and time of the incident. Please fill in the box with the time closest to the time you werecontacted by the police

    No Response

    5. Today's date .

    evening - 04/04/2012

    6. Your race We ask this question for statistical and data collection purposes to trackdiscriminatory conduct based on race.

    White/European American

    7. Which best describes you?

    I am the victim of poli ce mis conduct reported for myself

    8. sex

    Male

    9. Do you have an attorney?

    No

    10. Please provide an e-mail address so that we may communicate with you about yourcomplaint

    [email protected]

    Analyze Results

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    22. Were you treated by a doctor, nurse or any other he althcare professional while in policecustody or immediately afterward

    yes

    23. Please list all weapons used against you during the police encounter

    taser

    24. The police department's name

    Polk County and Marion County sheriff and DEA

    25. The police de partments address

    No Response

    26. Police Department type (if you were abused by more than one agency list the agency thatcompleted the arre st report

    DEA or FBI

    27. Police Department ZIP code

    34475 and 33805

    28. The officers inv olved in my incident were___

    mos tly male m ore than one female officer

    29. Were you threatened with additional criminal charges if you did not confess to a crime orimplicate someone else in a crime?

    yes

    30. Were you assaulted at the police station?

    No

    31. Were there any witnesses to the incident?

    Yes there were witnesses

    32. Were you arrested?

    Yes I was arrested

    33. were you assaulted in any way after being handcuffed?

    No Response

    34. Were you allowed to make a telephone call

    Yes more than one hour after I was booked or arrived at the police station

    35. Police Department telephone number

    No Response

    36. Police Department e-mail address (just the email address [email protected] not: this is

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    chief's email [email protected]) or fax number (fax numbers like this only 512-321-1111. If thepolice refused to provide a fax number or e -mail address contact the city manager, Mayor'soffice or city attorney's office to obtain an address where your complaint may be electronicallydelivered.

    No Response

    37. Please provide a time you are available in the e vent we nee d to ask questions about yourcase.

    No Response

    38. By checking this box you confirm that you understand that you may not tape-record or usetape recordings of Policeabuse.com staff communicating with you about your complaintwithout our permission.

    yes I agree

    39. Please type your name to confirm that you understand and agree to the following terms:Your name will se rve as your digital signature on th is complaint form. You assert that the factsin this complaint are true to the best of your knowledge. All recordings made byPoliceabuse.com are copyrighted and are the exclusive prope rty of Policeabuse.com.

    warren crowder

    40. Select how you want your complaint processed. If you select the free service there is noneed to call our office. Your complaint will be filed within 5 days via fax or email with thepolice. If you did not supply a fax or email address for the police we will send you a copy ofyour complaint for you to forward by regular mail to the police. Please choose one answer only.

    ($600.00). We start an investigation into your case. We collect case evidence and give you a report telling you what

    rules pol ice violated. Please call our office for details 800-473-5097.

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