Request Legal Assistance Name * First Name Last Name Email * Please personal your personal email, no request for legal assistance will be communicated to employee issued emails. Phone (###) ### #### Payroll # Membership Type * Officer Civilian If an officer, what is your current assignment? If an officer, have you received a 48-hour notice? * Yes No N/A If an officer, have you been relieved of duty? * Yes No N/A Please provide pertinent details regarding your incident. Please provide as many details as possible. * Thank you!