Rockdale – Complaint/Compliment CLAY COUNTY SHERIFF’S OFFICE MEMBER COMPLAINT FORM How do I submit a comment (positive or negative) about a CCSO employee or service? The Internal Affairs Section primarily handles serious complaints about Clay County Sheriff’s Office employees. Citizens can ask to speak to any on-duty CCSO supervisor directly at any time or call the Office of Internal Affairs at (904) 213-6039 Monday – Friday, 8 a.m. – 5 p.m., excluding holidays. Citizens may also obtain and complete the Citizen Comment Form at headquarters or the operations centers in Orange Park or Middleburg. You can fill out the form & submit it online, or print it out here & mail it to the following address: Clay County Sheriff’s Office Attn: Internal Affairs P. O. Box 548 Green Cove Springs, FL 32043 Incident or Event InformationWhat Happened?Location of IncidentDate MM slash DD slash YYYY TimeExplanation of Event:CCSO Member InformationNameIDRaceSexHeightWeightApprox AgeIn Uniform? Y N N/A Other Identifying CharacteristicsVehicle or Tag NumberVehicle ModelVehicle DescriptionContact Information (Complainant)First NameMILast NameStreet AddressCityStateZipRaceSexDOBHome PhoneCell PhoneBusiness PhoneWitness Contact Information2First Name2MI2Last Name2Street Address2City2State2Zip2Race2Sex2DOB2Home Phone2Cell Phone2Business PhoneReviewReview*Please verify that the information is complete and accurate in order to submit the information to Internal Affairs. All information is true and correct to the best of my knowledge. Caution: Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her duty shall be guilty of a misdemeanor of the second degree as provided by Florida State Statutes 837.06, 775.082, 083, and 084. Further, if the charge(s) is found to be unfounded, the accused has the right to pursue civil recourse against the complainant.
