Compliments & Complaints Form

Members of the Vanderbilt University Public Safety are committed to providing high quality police and
security services to our community. Appreciation for a job well done and constructive comments assist us in recognizing Department members for their performance and helps improve delivery of services and achievement of goals.

A compliment or complaint can be made at any time by letter, telephone, in person or by submitting an email. Any on-duty supervisor can accept your comments. Your comments are forwarded to the VUPS Community Relations personnel for review and (in cases of formal complaints) assignment for investigation.

This form may be submitted anonymously, but if contact information is provided, the complainant will be contacted by a supervisor as soon as possible to discuss the complaint and receive additional information on the investigative process.

Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Home Phone - ### - ### ####
Alternate Phone Alternate Phone - ### - ### ####
Email
VUPS Member You Encountered:
Date of Contact Date of Contact / MM / DD YYYY
Time of Contact Time of Contact : HH MM AM/PM
Location of Contact
VUPS Member Name if Known:
VUPS Incident Number if Applicable
A brief statement or description of your interaction with VUPS member
I understand that by checking the box below and submitting this email, I hereby certify that the provided information is true and correct to the best of my knowledge and belief.
Yes, My Statement is True
Date Date / MM / DD YYYY
Time Time : HH MM AM/PM

Compliments & Complaints Form

Compliments & Complaints Form

VUPS Member You Encountered: