Sheriff's Office - Complaint Form

This form is to be used for any complaint against any peace officer and will be reviewed by the Siskiyou County Sheriff's Office. In order for the form to be reviewed it is key to have personal information must be current and you must be reachable.

For submission, questions, and concerns, please contact the Siskiyou County Sheriff's Office, 305 Butte Street, Yreka, CA 96097, 530-842-8152.

For situations requiring immediate contact, injuries, etc please contact the shift Watch Commander at 530-841-2900.

If this is an EMERGENCY please dial 9-1-1.

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Personal Information

E-Mail Address

Full Name *

Telephone Number *

Work Phone

Message Phone

Street Address *

City, State, Zip *

Incident Information

Select Department/Division *

Incident Date and Time

Incident Report Number (If Known)

Incident Location

Employee - Name and ID Number

Employee 2 - Name and ID Number

Additional Employees with Their ID Numbers

Witness Information

Witness 1 - Full Name

Witness 1 - Phone Number

Witness 1 - Address, City, State, Zip

Witness 2 - Full Name

Witness 2 - Phone Number

Witness 2 - Address, City, State, Zip

Additional Witness Information - Name, Phone & Address

Description of Incident *

Leave this field blank

Contact Information

Jeremiah LaRue, Sheriff-Coroner
James Randall, Undersheriff

Siskiyou County Sheriff Headquarters
305 Butte Street
Yreka, CA 96097
Phone: 530-842-8300

Administrative: 530-842-8300
Civil: 530-842-8317
Records: 530-842-8301

or 530-842-8303
Dispatch: 530-841-2900
Emergencies: DIAL 911

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Sheriff's Office - Complaint Form

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Contact Information