Independent Police Complaints Commission
E-Complaint Form for Rodrigues
A - Personal Details
Surname
*
Other Names
*
ID
*
Gender
*
Male
Female
Date of Birth
*
Age
*
Residential Address
*
Email Address
*
Occupation (if any)
Contact Details (Home Or Mobile)
No.1
*
No.2
B - Complaint
Complaint against
(Names of Police Officers if they can be identified)
i)
ii)
iii)
Police Station/Unit
*
Select Police Station/Unit
Port Mathurin
Riviere Coco
La Ferme
Petit Gabriel
Grande Montagne
Plaine Corail
Not Aware
Select Police Station/Unit
Nature of complaint
*
Refusal to record declaration
Verbal Abuse
Damaging private property during police operation
Delay in enquiry by police
Failing to attend request made by public
No search warrant
Threat by police
Harassment by police
Abuse of Authority
Death in Police Custody
Torture
Public Officer using Violence
Larceny by police during search carried out by them
Others
Date of Occurrence
Place of Occurrence
*
Witnesses
(if any)
(i) Witness Name 1
(i) Witness Contact Number
(i) Witness Address
(ii) Witness Name 2
(ii) Witness Contact Number
(ii) Witness Address
Injuries sustained
(if any)
PF 58 issued
*
Yes
No
Hospital Attended
Choose option
Queen Elizabeth Hospital
Choose option
Whether services of Counsel retained
*
Yes
No
Relate the detailed incident in the text box below. You may write in English, French, and/or Creole
*
1000 characters left.
Attach document (if any)
Supported file types: PNG | JPG | JPEG | PDF
I, hereby declare that I am making this complaint in good faith and that the facts contained therein are true and correct and regarding which I assume full responsibility.
Date:
4/4/2025
In case encountering any problem, kindly phone on 260 0513
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