In an emergency phone 111. This form is not monitored on a 24/7 basis. Your feedback When did it happen? (Day, week, date, time) Where did it happen? (Address/location, town/city) * Who was involved? (Police officer/employee name if known) Tell us about your service experience. (Describe in your own words and provide as much details as possible) * Your details Email * Name * Address * Telephone Do you have any special instructions for contacting you? Your privacy The information you provide in this form will enable Police to assess the feedback you have provided and take steps as considered appropriate by Police. Police will not disclose your personal information unless authorised or required by or under law. You have the right to request access to and correction of your information by writing to: Privacy Officer, New Zealand Police, P O Box 3017, Wellington 6140. CAPTCHAThis step is required to prevent automated spam submissions. Math question * five plus five equals Solve this math question and enter the solution with digits. E.g. for "two plus four = ?" enter "6".