Community Concerns

Submit the online form below or use this PDF document if you prefer to print the form. Please complete each section with as much detail as possible.

As the Sheriff, I want to let you know that I appreciate the time you take to fill out the form regarding community concerns. I am pleased to receive concerns about our neighborhoods in Queen Anne's County, its residents, and those who visit.

Citizens may 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 *

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