Complaint against the Metropolitan Police 	
SUBJECT OF THE COMPLAINT : 	

Behaviour of police personnel 	
Inefficiency of the service 	

	Date of the fact : 
 	
How the complaint has been made : 	

 at the office	
by telephone	
straightforward	
 others	

SUMMARY DESCRIPTION : 

 	
NAME :	
SURNAME :	

ADDRESS : 	

TEL. No. :	

Decree n. 195/2003 laws regulating the data protection:
Your personal data will only be used to enable us to deal with your request and for no other purpose.
In case you do not accept, we will not be able to deal with it.
Your personal data will be kept in the data bank of Comune di Firenze.
We may consult with third parties if the information you have asked for originates from or affects their legal rights.  	

	
OFFICIAL USE ONLY
(to submit within 3 days) 	
Id. doc. : 	
date :	

to :	

	

date 	
	
Signature	

Activity : 	
rif. Verbale di N.C. n° del 	

 Investigation of the fact	

 Contact with the subject (letter, mail, telephon)	

Contact with the personnel	

 Answer of	

by    	
 letter	

 Mail	

Telephon	

 Others	

Conclusion :	

	

	

Date 	
	
Signature	

SIGNATURE OF COMMANDER	

	

Notes :	

	

	

	

Date	
	
Signature