Citizen Complaint Form

PARC Executive Director

Clarence Vaughn III
cvaughn@knoxvilletn.gov
(865) 215-3869

400 Main St., Room 538
Knoxville, TN 37902

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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: email cvaughn@knoxvilletn.gov, call 865-215-3869, or fax 865-215-2211.

Citizen Complaint Form
* Name
* Address
City
Zip Code
Email Address
* Phone #
Date of Birth
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.