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HomeMy WebLinkAbout52A - Form 5 Town of Lexington Police Department Chief Mark J. Corr Citizen Complaint Follow-up Investigation 1575 MASSACHUSETTS AVENUE • LEXINGTON, MASSACHUSETTS 02420 781-862-1212/fax 781-863-1291 IA Form - 5 FOR LEXINGTON POLICE DEPARTMENT USE ONLY. The command staff officer assigned to follow-up on the complaint should complete this form for all formal investigations. Name of Employee: __________________________________________________________________ Date: __________________________________ Case Number: _____________________________ Nature of Allegation: _________________________________________________________________ __________________________________________________________________________________ Complaint Follow-Up Investigation: __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ ________________________________________________________________________ Print Name of Investigating Officer ________________________________________________________________________ _______________________________________ Signature of Investigating Officer Date