FILE A COMPLAINT


IF YOU ARE A PRISONER OR DETAINEE who has a complaint concerning the conditions of your confinement or detention, you must file all grievance procedures before contacting us. Please send us a complete set of copies, not originals, of grievance filings and decisions, and include your ADOC or Prisoner/Detainee Identification number.

Sending us this form does not mean that the ACLU of Arizona will represent you or take any action.

It may take up to 8 weeks for the ACLU of Arizona to respond to you.

If you send us this form, you agree that the American Civil Liberties Union, its affiliates (including the ACLU of Arizona), or one of the ACLU’s partners, may use this information, without your name, address, email or phone number. If we want to identify you, we will contact you first.

Sometimes we use your information for one or more of these reasons:

(1) legislative testimony
(2) law suit/litigation
(3) contacting a city, state or federal agency
(4) telling your story to the public, including the media.

We keep your name, address, telephone number, and email confidential unless you give us permission to use it or unless we are ordered to turn it over by a court (although we will attempt to prevent that).


PLEASE DO NOT ENCLOSE ANY ORIGINAL DOCUMENTS, RECORDINGS OR OTHER MATERIALS WHEN YOU RETURN THIS FORM.
We cannot return any materials that you send to us with this form.

1. YOUR INFORMATION:






2. MY COMPLAINT IS AGAINST THE FOLLOWING:

3. WITNESS(ES) OR PERSON(S) WITH INFORMATION REGARDING YOUR COMPLAINT:

4. ARE YOU REPRESENTED BY AN ATTORNEY?

5. COMPLETE DESCRIPTION OF COMPLAINT:

Please describe your issue in detail (1,000 character limit). Include all the facts that may help us decide if we can help you. We will contact you if we have questions or need more information.

What happened?*

(Must be 1000 characters or less)

 

Please tell us what you would like the ACLU of Arizona to do.*

(Must be 1000 characters or less)

BY SUBMITTING THIS FORM YOU AGREE THAT ALL OF THE INFORMATION PROVIDED IS TRUE AND CORRECT TO THE BEST OF YOUR KNOWLEDGE.