Brightline Defense Project

Complaint Form

• All complaints submitted through this form are confidential
• We'll respond by e-mail unless you ask us to call you in the narrative portion of your complaint
• If you prefer, you may call our office at the numbers listed on our Contacts page.

PERSONAL INFORMATION Name:
Email Address:
Confirm Email Address:
City:
State: CA Other

GENERAL COMPLAINT INFORMATION Who are you complaining about:
First Date of Incident:
Most Recent Date of Incident:

TYPE OF COMPLAINT Type of Complaint:

BRIEF NARRATIVE Briefly Tell Us What Happened:

return to the top