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2. This form is for commending, lodging a complaint against or making a suggestion regarding a member (both sworn and non-sworn) of the Malden, Massachusetts Police Department. Please provide as much information as possible. Anonymous complaints will be investigated but the process may become more difficult without contact information. Our ability to further clarify the complaint will be reduced and this may hinder the investigation.
4. Printable Citizen Comment Form
   Download Citizen Comment Form

   If you would prefer, you may download and print this form and either deliver or mail the form to: Malden Police Department 800 Eastern Ave. Malden, MA 02148 Attn: Patrol Commander
6. Type of Comment*

   1. Commendation/Compliment
   2. Complaint
   3. Suggestion
7. Anonymous Comment?

   1. Yes
   2. No
11. CONTACT INFORMATION
    *Do not complete if you wish to remain anonymous.
13. Name
14. Email Address
16. Address
18. City
19. State
20. Zip Code
22. Phone Number
    xxx-xxx-xxxx
26. MPD PERSONNEL INVOLVED
    Please provide as much information as possible about the employee(s) involved
28. Name of Officer/Employee #1
29. Badge Number
31. Gender

    1. Male
    2. Female
32. Personnel was dressed in:

    1. Uniform
    2. Plain Clothes
33. Personnel was:

    1. Operating Marked Vehicle
    2. Operating Unmarked Vehicle
    3. Operating Motorcycle
    4. On Foot
    5. Inside Police Station
35. Name of Officer/Employee #2
36. Badge Number
38. Gender

    1. Male
    2. Female
39. Personnel was dressed in:

    1. Uniform
    2. Plain Clothes
40. Personnel was:

    1. Operating Marked Vehicle
    2. Operating Unmarked Vehicle
    3. Operating Motorcycle
    4. On Foot
    5. Inside Police Station
42. Other Employees Present
46. INCIDENT INFORMATION
    Please be as specific as possible
48. Date & Time
    Date & Time

    Date & Time
49. Location
    Street Address, Intersection, or Landmark
51. Were you involved with the incident or were you a witness?

    1. Involved
    2. Witness
53. Description*
    Give details about the commendation, complaint, or suggestion. Be as specific as possible with times, dates, locations, witnesses, conversations, and actions.
57. WITNESS INFORMATION
59. Witness #1 Full Name
60. Email Address
62. Address
64. City
65. State
66. Zip Code
68. Phone Number
    xxx-xxx-xxxx
70. Witness #2 Full Name
71. Email Address
73. Address
75. City
76. State
77. Zip Code
79. Phone Number
    xxx-xxx-xxxx
81. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
83. Electronic Signature
87. DOCUMENTATION
    If you have any photos, video, or documents related to the comment, please upload them here.
89. File Upload
Leave This Blank:


91. 1. Receive an email copy of this form.
92. Email address

    This field is not part of the form submission.

93. Submit

* indicates a required field