Community Concerns

To submit a community concern please fill out and submit the form at the bottom of this page, or download this form to submit in person.

Please complete each section with as much detail as possible.

As the Sheriff, I want you to know that I appreciate the time you take to fill out this form. I am always pleased to received information about our neighborhoods in Queen Anne's County, its residents, and those who visit.

Citizens may also call Headquarters to make their initial community concern by calling 410-758-0770.

False accusations or statements which cause an investigation may lead to civil and criminal actions.

Compliments, Compliants, Community Concerns

Your Name *

Email Address *

Address *

City

State

Zip Code

Home Phone

Work Phone

Mobile Phone

Date of Incident

Time of Incident

Location of Incident

QACSO Report Number

Criminal/SERO/Warning/Traffic Citation Number

Nature of Incident

Summary of Incident

Need more space for your summary?

Yes

Summary Continued

Witness Information

“I do solemnly declare and affirm under penalty of perjury that the information stated herein is true and correct to the best of my knowledge.”

Signature *

Clear

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