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Iowa County Sheriff's Personnel Complaint Form

Pursuant to the Iowa County Sheriff’s Office policy 1002.3.2, this form is made available to anyone wishing to file a personnel complaint regarding an employee of the Iowa County Sheriff’s Office. Personnel complaints may be filed in writing, in person, by e-mail or by telephone to the Iowa County Sheriff’s Office, 109 E Leffler Street, Dodgeville, WI 53533, Tel No.: 608-930-9500, Email: deanna.brennum@iowacounty.org. Please complete this form with as much detail as possible.

*Complainant's Name:

*Address

*Phone Number:

*Email Address:

*Iowa County Employee's Name:

*Location of Occurrence:

*Date of Occurrence:

*Time of Occurrence:

*Narrative (please specify all information below - please attach additional pages if needed):

*Complainant's Signature:

*Date:

False claims against a Deputy/employee of the Iowa County Sheriff’s Office may subject theComplainant to a Class A forfeiture (WI Stat.ss 946.66: WI Stat. ss 66.0511). (Jan, 2020)

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