Main Content:
Criminal Complaint and Referral
If you wish to consult an assistant county attorney to determine whether criminal charges or other action is appropriate in a given situation, the Scott County Attorney’s Office has assistant attorneys available to meet with you.
If you wish to file a complaint against an individual or a business you will be asked to fill out the form below.
- Complaint hours 8:30 a.m. - 11:30 a.m., Monday through Friday.
- Check with the receptionist and request a form to complete or bring the completed form with you.
- Bring with you any police reports you may have in your possession.
- You may call the Scott County Attorney’s office at (563) 326-8600, with general questions regarding filing a complaint and you will be referred to the County Attorney on Complaint Desk duty.
- If you want to know if a warrant has been issued for an individual's arrest, you must phone the warrant officer at the law enforcement agency where the crime occurred.
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OFFICE OF THE SCOTT
COUNTY ATTORNEY CRIMINAL COMPLAINT AND REFERRAL |
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| To file a complaint with the County Attorney’s Office, you must fill out this form COMPLETELY and return it to the receptionist between the hours of 8:30 a.m. and 11:30 a.m., Monday through Friday. At that time, you will be able to discuss your case with an attorney who will advise you about the case and your rights. | ||||||||||||||||||||||||||||
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INFORMATION ABOUT YOU |
PERSON COMPLAINING ABOUT |
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| Name | Name | |||||||||||||||||||||||||||
| Address | Address | |||||||||||||||||||||||||||
| Home Phone | SSN | DOB | ||||||||||||||||||||||||||
| Work Phone | Ht | Wt |
Hair |
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| SSN | Eye Color | Race | ||||||||||||||||||||||||||
| DOB | Place of Employment | |||||||||||||||||||||||||||
| If this is a business complaint, the name and address of thebusiness should be used above, and your name and title below. | You must provide sufficient identifiers for us to enter awarrant into the computer system before we can issue a warrant for anyone. Get as much of the above information as you can before applying for a warrant. | |||||||||||||||||||||||||||
| Name | ||||||||||||||||||||||||||||
| Title | ||||||||||||||||||||||||||||
| Have you ever filed a complaint against this person before? Yes No | ||||||||||||||||||||||||||||
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What type and when? |
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| Has this person ever filed a complaint against you? Yes No | ||||||||||||||||||||||||||||
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What type and when? |
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| Have you filed a report with the Police? Yes No | If yes, when filed | |||||||||||||||||||||||||||
| Report No | Department | Officer, if known | ||||||||||||||||||||||||||
| Date and Time of Incident | ||||||||||||||||||||||||||||
| Location of Incident | ||||||||||||||||||||||||||||
| Brief Summary of FACTS: (THIS MUST BE COMPLETE. Use back of form if necessary). | ||||||||||||||||||||||||||||
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| Witness Name:
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Witness Address: | |||||||||||||||||||||||||||
| Your Signature | Date | |||||||||||||||||||||||||||
| Complaint # | ACA | Disposition | ||||||||||||||||||||||||||