Client Questionnaire: Police Misconduct

Please enter all information as completely as possible.

Name:
Phone number:
Email address:
Please check any of the areas you feel apply to your case:
False arrest: Profiling: Excessive force: Malicious prosecution:
Other: If other, please describe here:
Describe the events as they occurred, providing the relevant dates, times and places involved:

What if any injuries did you sustain?

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