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Citizens/Police Complaint Form

  1. The City of Ypsilanti respects your privacy and will not distribute your personal information except as necessary to resolve your request or complaint. However, you should be aware that this information is subject to the State of Michigan’s public disclosure laws and may be disclosed upon request. You are encouraged to provide as much information as possible. It is helpful to the investigators to be able to follow up on information or speak to people involved in the incident to gather evidence. However, if you would like to submit a complaint anonymously, you may omit your identifying information on this form. Please submit this complaint to any of the following: Ypsilanti City Clerk or Manager, Ypsilanti Police Department, Ypsilanti City Attorney, Ypsilanti City Hall Drop Box, or online. Once submitted, this form will be sent to the Ypsilanti City Manager, the Ypsilanti Police Department Chief, and the Ypsilanti City Attorney to be investigated. Within seven days you will receive confirmation of receipt, accompanied with a copy of the complaint, unless submitted anonymously. This complaint will be investigated and findings of the investigation completed within 30 days unless notice is given that more time is needed for the investigation. For any further information please contact the City Clerk’s Office (734) 483-1100

  2. Include if there are any photographs or video relevant to this incident available and if any injuries were sustained.

  3. Are you willing to be contacted by the City for more information?*

    Check Appropriate Box

  4. Do you want your name and contact information disclosed to the YPD?*

    If "no" please submit this form to the City Manager, who will remove your identifying information before forwarding the incident description, above, to the YPD.

  5. Would you consider mediation for this complaint?

  6. Gender

  7. Racial/Ethnic Background:

  8. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your document will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. Leave This Blank:

  10. This field is not part of the form submission.