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Citizen Interaction Form

2. We want to hear from you! Use this Citizen's Interaction Form to report an interaction with a Stow Police Officer.

   Please provide as much information as possible and if you have supplemental information, such as additional officers or witnesses, you may include it in the details section of this form.

   After you press the Submit button, your form will be immediately emailed to the Stow Police Department and reviewed during normal business hours.

   It is a violation of Ohio law to file a false complaint against a police officer (Ohio Revised Code 2921.15)

   Please note: All fields marked with an * are required fields and must be completed.

   Download The Form

   If you prefer, you may fill out a version of this form and send it via an email attachment to the Stow Police Department email, or print the form and mail it to the following address:

   Stow Police Department
   3800 Darrow Road
   Stow, Ohio 44224

   Download and view the Citizen Interaction Form (PDF).

6. Citizen Interaction Form

8. Date & Time of Incident*
   Date & Time of Incident

   Date & Time of Incident
10. Location of the Incident*

14. Officer's Information

16. Officer's Name
17. Unit of Assignment
19. Badge Number
20. Car Number

24. Citizen Information

26. Gender
27. Race
28. Date of Birth
    Date of Birth
30. Primary Contact Number*
31. Secondary Contact Number

33. Current Address

35. Street Address
37. Address Line 2
39. City
40. State / Province / Region
42. Zip / Postal Code
43. Country
45. Complainant Email

49. Employer Information

51. Employer
52. Occupation

54. Employer Address

56. Street Address
58. Address Line 2
60. City
61. State / Province / Region
63. ZIP / Postal Code

67. Witness Information

69. Witness Address

71. Street Address
73. Address Line 2
75. City
76. State / Province / Region
78. ZIP / Postal Code
80. Witness Phone Number
81. Witness Email

85. Details of Incident

87. Details of Incident*
Leave This Blank:


89. 1. Receive an email copy of this form.
90. Email address

    This field is not part of the form submission.

91. Submit

* indicates a required field