Police Officer Applicant Background Questionnaire - Sierra Vista Police Department Page 24
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2434. In the table below, list any and all citizen’s complaints lodged against you as a peace
officer. Include those complaints in which you were found to be not at fault. In the
category “Disposition” indicate if the allegation(s) against you were sustained or not,
and any disciplinary action (e.g. written or verbal reprimands, suspensions,
demotions, etc.) taken against you as a result of such complaints.
Agency
Date
Allegation
Disposition
35. List below any traffic accidents you have been involved in and any traffic citations
you have been issued arising out of the performance of official police duties. This
applies to on- duty and off-duty incidents; only if they occurred while you were
operating an official vehicle such as a take-home vehicle. Indicate, as appropriate, if
disciplinary action against you resulted from these incidents.
Agency
Date
Incident Description
Disposition
36. During the course of your employment as a peace officer, have you ever used
marijuana, illegal narcotics or other non-prescribed controlled/illegal substances?
If yes, describe fully below, including date(s) and circumstances.
No
Yes
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