Certification Complaint Form

Please use the latest version of Google Chrome to access this form. If the form does not work, please email certificationcomplaints@cjtc.wa.gov .

Name of Complainant

Date/ Time of Complaint

Date/ Time of Incident of Concern (If available)

Nature of Concern or Complaint

Brief Synopsis of the Complaint

Officer's Name, Badge #, Agency if known

Current Contact Information

Please check box if you would like to be contacted but remain anonymous.