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<br />Town of Lexington <br />Police Department <br />Chief Mark J. Corr <br /> <br />Citizen Complaint Follow-up Investigation <br /> <br />1575 MASSACHUSETTS AVENUE • LEXINGTON, MASSACHUSETTS 02420 <br />781-862-1212/fax 781-863-1291 <br />IA Form - 5 <br /> <br />FOR LEXINGTON POLICE DEPARTMENT USE ONLY. The command staff officer assigned to follow-up on the <br />complaint should complete this form for all formal investigations. <br /> <br />Name of Employee: __________________________________________________________________ <br /> <br />Date: __________________________________ Case Number: _____________________________ <br /> <br />Nature of Allegation: _________________________________________________________________ <br /> <br />__________________________________________________________________________________ <br /> <br />Complaint Follow-Up Investigation: <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br />__________________________________________________________________________________________________________________ <br /> <br /> <br />________________________________________________________________________ <br />Print Name of Investigating Officer <br /> <br />________________________________________________________________________ _______________________________________ <br />Signature of Investigating Officer Date