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Documents Sheriff Personnel Complaint Form 2019
Documents Sheriff Personnel Complaint Form 2019
The Orange County Sheriff-Coroner Department has a strict policy of maintaining good law enforcement community
relations. To achieve this goal, it is imperative that all complaints against members of the department be thoroughly
investigated. We want to know when our service needs to be improved and we also want to provide a means for citizens
to redress grievances against the departmental members.
The following is information on how to make a formal complaint and answers some commonly asked questions about our
procedures.
the transportation bus departed from to drop me and other inmates off at the Wasco State Prison I do not
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Know the names of the 2 Sheriff Deputies but this happened on March 18, 2020
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witness(es):________________________________________________
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Summary of Complaint:
Before I state what had happen I want you to know that I have received no Medical Care
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regarding my injuries, my open wounds received no stitches, my teeth remain broken and painful, my face
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is disfigured now, but may have been better if I had received proper evaluation, then medical attention.
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I refused to have my head scanned with the medical device they were using, after denying the scan verbally
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several officers would force my face in to the windshield of the oncoming transportation bus. I was then
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dragged by the officers to a private single man cell where I was once again abused, having my face force
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and slammed against the cage this time. I was beaten really bad and after assessing the damage as a
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I have broken teeth and a disfigured face from the excessive force that the officers used. The Lieutenant at
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the Wasco Prison suggested I file this complaint and I would agree but I would also like to add that I want to
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obtain an attorney to file a lawsuit aganst the OC Sheriff Department and Wasco State Prison. Please
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advise me of any procedures if mandatory by your department that I would need to do,If applicable.
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Statement of Complaint (continued) _________________________________________________________
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I was carried off the bus by the 4 officers, 2 on each side of me, then was used as a battering ram by the
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4 officers, my shackles were still on and hands were bound to my waist, I was defenseless during the
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abuse the entire time. They had no right to do this to me. Then in retaliation of submitting a complaint
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I was sent to a Level 4 180 Yard / Unit, when the 270 is what I should of been placed in.
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I would like these officers brought to justice, I would also like to file a claim for my pain and suffering.
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Why was I abused, was it a requested by the Judge, District Attorney or the OC Sheriff Sgt. that ask
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me to sign something before I left Theo Lacy on the bus, he came on the bus making a request for
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my signature but I did not sign it and then he started to scream at me, no matter who did it, they
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Should be brought to justice to face excessive charges and be suspended or discharged.
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Per the California Penal Code:
YOU HAVE THE RIGHT TO MAKE A COMPLAINT AGAINST A POLICE OFFICER FOR
ANY IMPROPER POLICE CONDUCT. CALIFORNIA LAW REQUIRES THIS AGENCY
TO HAVE A PROCEDURE TO INVESTIGATE CITIZENS' COMPLAINTS. YOU HAVE
THE RIGHT TO A WRITTEN DESCRIPTION OF THIS PROCEDURE. THIS AGENCY
MAY FIND AFTER INVESTIGATION THAT THERE IS NOT ENOUGH EVIDENCE TO
WARRANT ACTION ON YOUR COMPLAINT. EVEN IF THAT IS THE CASE, YOU
HAVE THE RIGHT TO MAKE THE COMPLAINT AND HAVE IT INVESTIGATED IF YOU
BELIEVE AN OFFICER BEHAVED IMPROPERLY. CITIZEN COMPLAINTS AND ANY
REPORTS OR FINDINGS RELATED TO COMPLAINTS MUST BE RETAINED BY THIS
AGENCY FOR AT LEAST FIVE YEARS.
This form is available in any of the following languages: Albanian, Armenian, Cambodian,
Chinese, Dutch, Dari, Farsi, French, Hebrew, Hindi, Hungarian, Ilocano, Indonesian,
Italian, Japanese, Lao, Korean, Polish, Punjabi, Russian, Spanish, Swedish, Tagalog,
Tamil, Thai, Urdu and Vietnamese.
Please sign and date this complaint form (or its other language equivalent) and return it to
us, so we can proceed with the investigation.
By signing this form, I certify that the statements contained in it are true and
correct to the best of my knowledge and belief.
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Signature Date
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Name (Please print)