Add Complaint

1. Person Completing this form

Check here to submit this complaint anonymously

First Name

Last Name

Organization Name

Street Address

City

State

ZIP Code

Email Address

Phone

Extension

2. Subject of Complaint

Select one of the following: Forensic Analyst/and or Laboratory/Other Entity

Forensic Analyst Name

Laboratory

Other Entity

City*

State*

Approximate Date of Examination, Analysis, or Report

Laboratory Case Number(s) (if known)

Have you ever filed a complaint with the commission involving the same criminal matter(s)?*

Yes

No

Previous FSC complaint number (if known)

3. Subject of Complaint - Forensic Analysis

Select Type(s) of Forensic Analysis from dropdown and/or Select “Other” Type of Forensic Analysis if the type is not listed. If the disclosure involves issue(s) unrelated to forensic analysis (e.g., general management issues, misuse of lab resources, etc.), select the “Does Not Involve Forensic Analysis” checkbox.

Does Not Involve Forensic Analysis

Type(s) of Forensic Analysis*

Other (If you're unsure, you may enter a type of analysis here, and we'll determine if it matches within our jurisdiction.)

4. Defendant(s)

Is the forensic analysis associated with any law enforcement investigation, prosecution or criminal litigation?*

Yes

No

Are there more than five defendant(s)?*

Yes

No

Please attach a list of the defendants associated with the forensic analysis including your relationship with the defendant, their first and last names, their street address, city, state, zip code, email address, phone, phone extension, and the following criminal case details if known: criminal cause number; state, county and court of criminal action; criminal offense(s); outcome of case; prosecutor in the case; defense attorney in the case.

Your relationship with the defendant*

Other(please specify)*

Defendant First Name*

Defendant Last Name*

Street Address

City

State

ZIP Code

Email Address

Phone

Extension

CRIMINAL CASE DETAILS (IF KNOWN)

Criminal Cause Number

State

County

Court

Criminal Offense(s)

Outcome of Case

Prosecutor in the case

Defense Attorney in the case

DOCUMENT(S)

File Description*

5. Witness(es)

Provide the following about any person with factual knowledge or expertise regarding the facts of the disclosure.

Are there any witnesses?*

Yes

No

Are there more than five witnesses?*

Yes

No

Please attach a list of the witnesses with factual knowledge or expertise regarding the facts of the disclosure including their first and last names, their organization name, street address, city, state, zip code, email address, phone, and phone extension.

Witness First Name*

Witness Last Name*

Organization Name

Street Address

City

State

ZIP Code

Email Address

Phone

Extension

DOCUMENT(S)

File Description*

6. Description of the Complaint

Please provide a brief statement of the event(s), acts or omissions that are the subject of the disclosure either by entering it into the text box below and/or by including as an attachment.

Complaint Description*

File Description*

7. Exhibits and Attachments

Whenever possible, complaints should be accompanied by readable copies of any laboratory reports, relevant witness testimony, affidavits of experts about the forensic analysis, or other documents related to your complaint. Please list and attach any documents that might assist the Commission in evaluating the complaint.

File Description*

8. Your signature and verification

By signing below, I certify that the statements made by me in this disclosure are true. I also certify that any documents or exhibits attached are true and correct copies, to the best of my knowledge.

Signature*

Type your name to sign this form.