NYMSTF Law Enforcement Discrimination Complaint Form

If you feel you have been treated illegally, unfairly or unjustly by police officers during a traffic stop while on your motorcycle, or you believe that you were singled out just because you were riding a motorcycle instead of driving an automobile, we encourage you to file a complaint with the Law Offices of Proner & Proner. The form below will guide you through reporting the incident. When you press the [Send] button, the information will be sent directly to the Law Enforcement Discrimination Complaint Coordinator at Proner & Proner. If you have questions, please call (212) 986-3030. Please type carefully. A copy of the completed form will be sent to the email address you provide below.

Full Name:
Street Address:
City:
State:
ZIP Code:
Cell Phone:
Home Phone:
Office Phone:
Email Address:

Club/Affiliation:

Date and time of incident:

Location of incident:

Circumstances of incident:

Were any summonses issued or arrests made? If so, please detail:

Law enforcement organization involved (name of department and precinct or command):

Name(s) and badge numbers(s) of ticketing or arresting officer(s)?

Are you aware of any other incidents involving this agency or these officers? Specify, or leave blank if no:

Have you filed a complaint with the CCRB (Civilian Complaint Review Board), or other police ethics or oversight agency if not the NYPD?

Would you agree to pursue this claim through the courts?

Yes
No
Maybe

If you answered yes above, please provide as much detail as possible, including the names of any potential witnesses or people with you who were also mistreated. Please include any contact information you might have for witnesses or others who were involved.

Please provide any other information you think is important or may be important:

After you type the security code and press the [Send] button below, your complaint will be sent by email to:

Law Enforcement Discrimination Complaint Coordinator
Law Offices of Proner & Proner
60 East 42nd Street, Suite 1448
New York, NY 10165

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