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Citizen Complaint Statement

  1. Revised Code of Washington 9A.76.175 Acknowledgement*

    Making a false or misleading statement to a public servant. A person who knowingly makes a false or misleading material statement to a public servant is guilty of a gross misdemeanor. "Material statement" means a written or oral statement reasonably likely to be relied upon by a public servant in the discharge of his or her official powers or duties. Additionally, Officers who are the subject of malicious statements may have other legal recourse against a false accuser. I have read and understand the above statement.

  2. Declaration*

    I declare and certify under penalty of perjury under the laws of the State of Washington that the preceding statement is true and correct.

  3. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application 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.

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