Form DO300 "Complaint Acceptance Form" - Nevada

What Is Form DO300?

This is a legal form that was released by the Nevada Department of Public Safety - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 6, 2002;
  • The latest edition provided by the Nevada Department of Public Safety;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DO300 by clicking the link below or browse more documents and templates provided by the Nevada Department of Public Safety.

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Download Form DO300 "Complaint Acceptance Form" - Nevada

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State of Nevada
Complaint Acceptance Form
1. OPR Tracking No.
2. Name of Accused Employee(s)
3. Rank/Title
4. I.D.
5. Office or Section
6. Complainant’s Name (if unknown, so state)
7. Home/Work Address
8. Telephone
9. Complainant’s Race, Color or National Origin
10. Complainant’s Sex
11. Complainant’s Date of Birth
(optional)
Month
Day
Year
Female
Male
Unknown
Asian
Black
Hispanic
White
Native American
Unknown
12. Complainant’s Employer (optional)
13. Business Address
14. Telephone
15. Witness (Name)
16. Home/Work Address
17. Telephone
18. Witness (Name)
19. Home/Work Address
20. Telephone
21. Date and Time of Incident(s)
22. Incident Location(s)
24. Method Complaint Filed
Mail
23. Date and Time Reported
Telephone
Other
In Person
25. Report Taken By:
26. Rank/Title
27. I. D.
28. Office or Section
Details of Complaint
29.
(to be completed by complainant, if possible)
Attach Additional Sheets, if necessary
State of Nevada
Complaint Acceptance Form
1. OPR Tracking No.
2. Name of Accused Employee(s)
3. Rank/Title
4. I.D.
5. Office or Section
6. Complainant’s Name (if unknown, so state)
7. Home/Work Address
8. Telephone
9. Complainant’s Race, Color or National Origin
10. Complainant’s Sex
11. Complainant’s Date of Birth
(optional)
Month
Day
Year
Female
Male
Unknown
Asian
Black
Hispanic
White
Native American
Unknown
12. Complainant’s Employer (optional)
13. Business Address
14. Telephone
15. Witness (Name)
16. Home/Work Address
17. Telephone
18. Witness (Name)
19. Home/Work Address
20. Telephone
21. Date and Time of Incident(s)
22. Incident Location(s)
24. Method Complaint Filed
Mail
23. Date and Time Reported
Telephone
Other
In Person
25. Report Taken By:
26. Rank/Title
27. I. D.
28. Office or Section
Details of Complaint
29.
(to be completed by complainant, if possible)
Attach Additional Sheets, if necessary
30. Complainant’s Signature:
The information below is to be filled out by Department of Public Safety personnel only.
31. Was the accused employee on duty at the time of the alleged incident(s)? Yes/No. If no, explain below how the allegations
have a nexus to the employee’s job.
32. If the allegations were found to be sustained (true), provide a list of the DPS/Division policy(s) and/or N.A.C. and/or N.R.S,
which apply. List the policy(s), N.A.C. or NRS violations by reference code only.
33. If allegations are of a serious nature (Felony act, serious injury, etc.) OR conduct requiring immediate attention, contact
appropriate level of management. List below, the names, date and time that each supervisor/manager was notified.
Form No. DO 300
Page 2 - 9/06/02
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