PARC Citizen Complaint Form

      Executive Director

      LaKenya Middlebrook
      lmiddlebrook@knoxvilletn.gov
      (865) 215-3869

      400 Main St., Room 538
      Knoxville, TN 37902

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      This form is ONLY to file a complaint on police misconduct.


      Please Note: In order to facilitate a thorough investigation of your complaint, it is necessary that you complete and return this complaint form within 60 days. If your completed form has not been returned to the PARC office within this 60 day period, it will be assumed that you have decided not to pursue this matter any further and your case will be closed.

      Contact Info: send email to  lmiddlebrook@knoxvilletn.gov or call 865-215-3869, or fax 865-215-2211.

      Non-Police Related Complaints: If you have a complaint about about other City Services please use the 311 Miscellaneous Request Form to report your concerns. 


      PARC Citizen Complaint Form
      This form is ONLY to file a complaint on police misconduct.
      * Name
      * Address
      City
      Zip Code
      Email Address
      * Phone #
      Date of Birth
      GENDER & ETHNICITY
      The City of Knoxville Police Advisory and Review Committee is requesting information on gender and ethnicity for statistical purposes. It is optional to answer these demographic questions. We value your concern and willingness to provide us with the requested information.
      Gender / Sex
      Ethnicity / Ethnic Background
      COMPLAINT
      * Type of Complaint
      I do hereby state and affirm that the following Officer(s) with the listed Badge/ID Number(s) below committed the acts of misconduct/violation of Rights Complaint, in the following incident.
      * Officer's Name(s)
      Officers's Badge/ID Number(s)
      Please be advised that if you make any false statements in this complaint, you may be prosecuted for filing a false report. T.C.A. Section 39-16-502 or Knoxville City Code Section 19-91 and may be subject to civil liability.
      * Time of Incident
      * Date of Incident
      Citation Number (If applicable)
      Location of Incident
      Witness(s) Name(s) and Contact Information
      * Description of Complaint/Incident
      * Items marked with an asterisk (*) are required to be filled on this form.
      This form is ONLY to file a complaint on police misconduct.


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