Annexure 2A (SOP 3)
ICD 3-2A (4-99 Revision 2)

INSTRUCTIONS FOR COMPLETING
THE COMPLAINT REPORTING FORM (ICD Form 1)


The Complaint Reporting Form (ICD Form 1) is the report which is to used to lodge a complaint with the Independent Complaints Directorate (ICD). The Form is to be completed by a complainant or other person assisting a complainant and submitted to the ICD or the South African Police Service which shall send it to the ICD.

PLEASE PRINT LEGIBLY TO ENABLE THE ICD TO PROCESS THIS FORM QUICKLY. ALL BLOCKS SHOULD BE COMPLETED. IF ANY INFORMATION IS UNKNOWN, PRINT THE LETTERS "UNK." IN THE BLOCK. IF ANY BLOCK DOES NOT APPLY TO THE COMPLAINT, PRINT THE LETTERS "NA" FOR NOT APPLICABLE. IF THE COMPLAINANT REFUSES TO SUPPLY ANY INFORMATION, PRINT THE WORD, "REFUSED" IN THE APPROPRIATE BLOCK. USE A COMPLAINT REPORT CONTINUATION SHEET OR SHEETS IF NECESSARY TO PROVIDE COMPLETE DETAILS OF THE COMPLAINT.

The following instructions are provided to assist persons completing the ICD Form 1. They are presented in numbered form, each number corresponding to a numbered block on the Complaint Reporting Form.

 

1. Date/Time of Complaint Insert the date and time the complaint is lodged.
2. CCN To be filled in by ICD Staff only- Insert the CCN assigned by the Complaints Registry.
3. Method of Receipt To be filed by person receiving the complaint- Indicated method by which complaint was lodged.
4. SAPS Report To be completed in the event a complainant has laid a charge at a police facility. If a Cas/CR number has been assigned, it is to be placed here as well as the name of the police facility where the charge was laid.
5. Complainant’s Legal Name The surname of the person lodging the complaint should be printed followed by the person’s first name.
6. Name of 3rd Party Filing Complaint The name of any person who is lodging a complaint on behalf of another person should be printed in this block in the order surname and first name.
7. Complainant’s Street Address Print the street name and house number of the complainant’s home.
8. Complainant’s Telephone No. Print the area code and telephone number of the complainant’s residence.
9. Complainant’s ID No. The Complainant’s ID number should be printed clearly in this block.
10. City/Town/Province Print the name of the city, town and province in which the complainant lives. Include the postal code if known.
11. Directions to Complainant’s House In the event the complainant’s house has no street number, print brief directions to enable ICD investigator’s to find it.
12. Victim If the name of the victim is different from that of the complainant, print the surname and first name of that person.
13. Complainant’s Occupation Print the occupation of the Complainant.
14. Work Telephone Number Print the area code and telephone number of the complainant’s work.
15. Complainant’s Work Address Print the street name and number of the location of the Complainant’s work.
16. Complainant’s Date of Birth Print the date, month and year of the Complainant’s date of birth.
17. Name of Closest Living Relative Print the full name, surname and first name of the Complainant’s closest living relative to assist ICD investigator’s to locate the Complainant.
18. Relative’s Telephone Number Print the telephone number of the Complainant’s closest living relative.
19. Relative’s Street Address Print the street name and house number of the Complainant’s closest living relative.

 

20. City/Town/Province Print the name of the city, town and province in which the closest living relative lives. Include the postal code if known.
21. Name of Nearest Neighbour Print the name of the neighbour living nearest to the Complainant or with whom Complainant is most friendly.
22. Neighbour’s Telephone No. Print the neighbour’s telephone number.
23. Neighbour’s Street Address Print the street name and house number of the neighbour living nearest to the Complainant or with whom the Complainant is most friendly.
24. City/Town/Province Print the name of the city, town and province in which the neighbour lives. Include the postal code if known.
25. Date of Incident Print the date on which the incident which forms the basis of the Complaint occurred.
26. Time of incident Print the time the incident occurred.
27. Specific Location of Incident Print the name of the building, facility or office, street address, city or town in which the incident occurred.
28. Province Print the name of the province in which the incident occurred.
29. Give full Details of Incident Print sufficient details of the incident to enable ICD to fully investigate the incident
30. Name(s) of Service Member(s) - Involved or Witnessed Incident Print the name of every member of the SAPS who either participated in the incident or who witnessed the incident.
31. Rank of service Members - Involved or Witnessed Incident Print the rank of every member of the SAPS who either participated in the incident or who witnessed the incident.
32. Duty Station Print the duty station of the SAPS member(s) who was (were) involved in the incident.
33. Description of the Service Members Involved/witness Print a full description of the SAPS member(s) who were involved in or who witnessed the incident.
34. Description/Tag No. of Service Vehicles If an SAPS vehicle was in any way involved in the incident, print a description or the license tag number(s) of such vehicles.
35. Names of Non-Service Witnesses to Incident Print the names of all persons who are not SAPS members and who witnessed the incident.
36-51. Print the street name and house number; other names by which the witness is known; city, town and province; and telephone number for each witness identified in block number 34
52. Printed Name of Report Taker The full name of the report taker, surname and first name should be clearly printed here.
53. Signature of Report Taker The report taker should sign his or her name here.
54. Number of Continuation Sheets Completed and Attached Print the number of Complaint Continuation Sheets which have been prepared as part of the complaint in the empty block to the right of block 54.
55. "CWTRA" or CENPRA ICD personel receiving the complaint are to mark with an "x" either CWTRA, complainant wishes to remain anonymous or CENPRA, complainant expressed no preference regarding the anonymity.
56. Preliminary Classification ICD personnel receiving the complaint is to mark with an "x" the appropriate box corresponding to the classification of the complaint.
57. Incident Code Number from incident description code sheet in space to right ICD personnel receiving the complaint is to insert the code number from the incident code sheet (ICD Form 8) which most accurately describes the complaint.