What's the nature of your enquiry?

You are entitled to remain anonymous however you should be aware that the NSW Police Force's (NSWPF) ability to respond effectively to your complaint could be hindered if we are unable to seek further detail or clarification from you.

Purpose of Collecting Demographic Information

The NSWPF is committed to providing an excellent level of service for all members of the NSW public. We are therefore interested in monitoring complaints from diverse communities to ensure we can address concerns or trends that may arise. To help identify these concerns and trends, we are asking a number of demographic questions. You may choose to not answer the questions if you prefer. Any responses you do provide to the demographic questions, will remain confidential and will not be supplied to the person(s) subject of the complaint.

Your Details

Your first name:

Your surname:

Your residential address:

Your postal address:

Your phone number:

Your email address:

Your date of birth: (Format is Day/Month/Year.)
12345678910111213141516171819202122232425262728293031 JanFebMarAprMayJunJulAugSepOctNovDec 19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099

Your preferred method of contact:

• Mail
• Telephone
• Email
• Do not contact me

Do you identify as Aboriginal and/or Torres Strait Islander? (Please tick the most relevant field.)

• Aboriginal
• Torres Strait Islander
• Both
• Neither

Are you* (Please tick the most relevant field.)

• Female
• Male
• Another term (Please specify below.)

*In accordance with the ABS 2021 Standard for Sex, Gender, Variations of Sex Characterstics and Sexual Orientation Variables.

Do you identify as LGBTIQ? (If yes, please tick any relevant fields.)

• Lesbian
• Gay
• Bisexual
• Transgender/Gender Diverse
• Intersex
• Queer
• Other

If you are a person with a disability, please tick the fields below that describe the type of disability/disabilities you live with.*

• Physical
• Psychiatric
• Intellectual
• Sensory Impairment
• Other

* In accordance with s 7(1) of the Disability Inclusion Act 2014 (NSW).

If you speak a language other than English at home, please write that language in the field below. If no, please write N/A in the field below.

(e.g., Japanese.)

If you need an interpreter or translator, please write that language in the field below. If no, please write N/A in the field below.

What is your religion? (Please write in the field below.)

(e.g., Catholic, no religion, non-practicing, etc.)

Your Complaint

Name(s) of Police Officer(s) Involved.
(If known.)

Where officer(s) stationed:
(If known.)

Name(s) of other people involved:

Incident Date (Format is (circa) Day/Month/Year HH:MM am/pm.):

Place of Incident:
(Street, suburb, area, locality, etc.)

Details of Incident(s):

Are you able to identify witness or provide other evidence of the matter you are complaining of? If so, please provide details.

Please confirm the details you entered are accurate. Making a false complaint about the conduct of a police officer is an offence. Providing false or misleading information during the course of an investigation into a complaint is also an offence.