Online Complaint Form

Complainant Information:
Name of Complainant: *
Date of Birth (mm/dd/yyyy): *
Home Address: *
Home Phone: *
Name of Employer:
Business Phone:
   

Incident Information:
Date of Incident: *
Time of Incident: *
Address of Incident: *
If this complaint is made on behalf of a minor child, provide the following information:
Name of Minor Child:
Date of Birth (mm/dd/yyyy):
Complainant's Relationship to Minor Child:
Name of Employee Involved:
Description (if name not known):
Race:
Sex: Male Female
Age:
Height:
Weight:
Vehicle #:
Dress:
   
Witness(es):
Name Address Business Phone Residential Phone
 
Details of Complaint - Limit 2000 characters
*
 
IMPORTANT - PLEASE READ CAREFULLY BEFORE SUBMITTING
Do you affirm that the information you have provided is accurate and true? YES

The information you submit will be recorded as a Henderson County Sheriff's Office police report. Persons filing false reports will be prosecuted. Information related to your electronic report, including but not limited to your computer's IP address, may be used as evidence in prosecution of individuals who file a false report as defined by the statute below.

North Carolina General Statute 14-225: False reports to law enforcement agencies or officers Any person who shall willfully make or cause to be made to a law enforcement agency or officer any false, misleading or unfounded report, for the purpose of interfering with the operation of a law enforcement agency, or to hinder or obstruct any law enforcement officer in the performance of his duty, shall be guilty of a Class 2 misdemeanor.

 

 

Henderson County Sheriff's Office
201 North Main Street | Hendersonville, North Carolina 28792

Phone: 828-697-4596
EMERGENCY: 911
Administration Hours: Monday - Friday 8:00am - 5:00pm

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