City of Edina Form Center

2. This form is used to report allegations of misconduct by a police officer, 911 dispatcher, office staff or other member of the Edina Police Department.

   The Edina Police Department takes complaints against any staff member very seriously. The Edina Police Department accepts and documents all complaints and investigates them where warranted. This process is explained in Edina Police Department policy 360.00 (PDF) and 365.00 (PDF). If you have provided contact information, you will be notified if an investigation into the allegation is warranted and the findings when the investigation is complete.

4. Contact Information for Person Making the Complaint

   You are not required to provide this information, and there are no penalties for leaving these fields blank. However, declining to provide information may affect the investigation of the complaint. Please note that intentionally providing false information could subject you to criminal or civil consequences.

6. First Name
7. Middle Name
8. Last Name
10. Date of Birth
    Date of Birth
11. Email Address
13. Street Address
15. City
16. State
17. Zip Code
19. Home Phone
20. Cellphone
21. Work Phone
25. Complaint Information

    Please fill out as much information as you know. It's OK to leave something blank if you're unsure.

27. Positions of Involved Staff

    1. Police Officer
    2. Investigator / Detective
    3. Office Staff

    1. Police Leadership - Chief, Deputy Chief, Lieutenants
    2. 911 Dispatcher
29. Person's Name
30. Badge Number

    If applicable

32. Does your complaint involve more members of the Edina Police Department?

    1. Yes
    2. No
33. List others involved

    Please provide names and/or badge numbers of others involved.

35. Date & Time of Incident
    Date & Time of Incident

    Date & Time of Incident
36. Location of Incident
38. Type of Complaint

    Check as many as apply

    1. Criminal act
    2. Discrimination
    3. Excessive force
    4. Harassment
    5. Inappropriate language

    1. Neglect of Duty
    2. Retaliation
    3. Violation of Policy
    4. Other (specify)
39. Other type of complaint
41. Details

    Please be as specific as possible. 

43. Witness Name
44. Witness Phone Number
45. Witness Email
47. Witness Name
48. Witness Phone Number
49. Witness Email
53. Public Data Advisory*

    The information you are being asked to provide is classified as “public,"“private” and “confidential” pursuant to the Minnesota Government Data Practices Act. The purpose of collecting this information is to appropriately investigate your complaint. You are not required to supply the requested information, but not doing so will hinder the investigation of your complaint. The information you provide can be accessed by others in accordance with the Data Practices Act.

    Your information will be used as part of the total evidence to determine if misconduct occurred and, if so, whether any disciplinary or corrective action should be taken. Your information may be used in meetings, hearings or procedures such as grievance hearings, an arbitration process or other appeal procedures, and you may be required to testify.

    The following individuals and entities may have access to the information you provide:

    • Employees and officials of the City of Edina whose work assignments reasonably require access to the information
    • Other persons or entities authorized by a state or federal law, or by court order, to have access to such information
    • If disciplinary action is taken based on the results of this investigation, the information you provide may be available to others and the public as documentation supporting final disciplinary action
    • The subject(s) of the data
    • Management/administrators/supervisors whose input may be necessary for the decision-making process; exclusive representatives; employees of the Minnesota Department of Employee Relations; arbitrators; state and federal courts; state and federal human rights enforcement entities; appropriate licensing entities and agencies; the Re-employment Compensation Division of the Department of Economic Security; law enforcement agencies and prosecutorial authorities; transcription services; individuals or entities with contracts providing access to the data; and counsel for parties to litigation pursuant to a court order

    Please be advised that Minnesota law (Minnesota Statute 609.505) makes it a criminal offense to make a knowingly false and defamatory report of police officer misconduct.

    1. I have read and understand the Public Data Advisory
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field