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Durham Civilian Police Review Board Request for Appeal Hearing Form

2. 

4. The role of the Durham Civilian Police Review Board (CPRB) is to receive appeals from individuals who are not satisfied with the finding(s) of their complaint to the Durham Police Department (DPD) due to a possible faulty investigation by the DPD. Appeals are received only after the DPD has completed its investigation and notified the complainant. The Board may not hear any appeal in which a claim for damages has been presented to the City or a lawsuit has been filed in any court of competent jurisdiction. The CPRB determines the need for an appeal hearing based on a review of the investigative process conducted by the DPD.

   To request an appeal hearing:

   • Complete this form online OR pick up a paper copy from the City Manager's Office and submit to the City Clerk, City Hall, 101 City Hall Plaza, Durham, NC 27701. 
   • The request must be received by the City Clerk no later than 30 business days (Monday – Friday) from the date on the letter from the DPD that states the finding(s) of its investigation of your original complaint to the DPD.
6. COMPLAINANT’S INFORMATION
8. Name*
9. Email
11. Address*
13. City*
14. State
15. Zip Code
17. Primary Phone Number*
18. Secondary Phone Number (optional)
19. Work Phone (optional)
21. Phone Preference:

    1. Primary

    1. Secondary

    1. Work
23. Best Time to Contact (check all preferences):

    1. Morning

    1. Afternoon

    1. Evening
25. Best Day of Week (check all preferences):

    1. Monday
    2. Tuesday

    1. Wednesday
    2. Thursday

    1. Friday
    2. Saturday

    1. Sunday
27. APPEAL TO THE CPRB
29. Date on the letter that you received from DPD with finding(s) from its investigation:*
    Date on the letter that you received from DPD with finding(s) from its investigation:
30. Date that you received the letter from the DPD with finding(s) from its investigation:*
    Date that you received the letter from the DPD with finding(s) from its investigation:
32. Name of Officer(s)/Employee(s) who is (are) the subject of your complaint:*
34. Provide the names and addresses of any witnesses who will testify if the CPRB grants your request for a hearing.
36. Name
37. Address
38. Phone Number
40. Name
41. Address
42. Phone Number
44. Name
45. Address
46. Phone Number
48. Name
49. Address
50. Phone Number
52. Describe why you believe the DPD's investigation was faulty. Be as specific as possible but do not provide/review the issues contained in your complaint.*
54. Please upload any additional files relating to this appeal
56. If you have attached additional pages or copies of any documents, what is the total number of pages?:
58. I hereby request that the Board grant an appeal hearing.

    By entering my full name below, I acknowledge that the above information is true and correct to the best of my knowledge.

60. Complainant's Full Name*
61. Date*
    Date
Leave This Blank:


63. 1. Receive an email copy of this form.
64. Email address

    This field is not part of the form submission.

65. Submit

* indicates a required field