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Citizen Response Form

  1. Shoulder patch

  2. The Blytheville Police Department is committed to providing the very best possible service to our citizens. In the event you feel that we may have failed to meet your standard or that we may have exceeded your expectations, you may file a formal response by filling out this form.

  3. The date and time you had contact with members of the Blytheille Police Department

  4. The date and time you filed your response

  5. The location or address you had contact with members of the Blytheville Police Department

  6. Please list the name of the officer or employee involved in your experience

  7. Please list the name of the officer or employee involved in your experience

  8. Leave This Blank:

  9. This field is not part of the form submission.