ALBIA POLICE DEPARTMENT - Albia, Iowa
 
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Equalitis Subter Juris - Equality Under the Law

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SERVICE REQUESTS

For assistance with services, reports, or other administrative assistance needs, please contact Renee at (641) 932-7815 to set up an appointment from 8 AM to 5 PM Monday through Friday at the Albia Police Department.

The Albia Police Department will offer several public services available to the community. Currently, the following services are listed below:

1) Vacation Watch Request Form

2) Citizen's Complaint Form

3) On-Line Job Application Form

Please scroll down the page to the approprate form.

VACATION WATCH REQUESTS - If your home or business will be unattended while you are out of town, you may fill out and submit this form and the Police Department will patrol and check your residence or business while you are gone.

The fields marked with (*) are required fields.

*

Name of the person making the request.
 
 * required

*

Address where extra patrol is requested.
 
 * required

*

Date when extra patrol is to begin.
 
 * required

*

The date when you will return.
 
 * required
 
Who can we call if there is an emergency and what is their phone number?
 
 
Will anyone have a key while you are gone, and what is their name and number?
 

*

If anyone has permission to be at your residence/business while you are gone, enter their names.
 

*

How may we reach you if we find a problem while you are gone? (Phone, Pager etc.)
 
 * required
 
What is your telephone number, in case we have any additional questions?
 
 
What is your E-mail address, in case we have any questions?
 
 
Please include any additional comments or information you feel we may need to know while you are gone.
 
 

CITIZEN'S COMPLAINT FORM - The following form is available for citizens of Albia who wish to file a complaint against any member of the Albia Police Department. Please be specific. (Anonymous complaints cannot recieve a response regarding their complaint.)

The fields marked with (*) are required fields.

 
Name of person making complaint?
 
 
Complaintant's Address?
 
 
Complaintant's Phone Number?
 

*

Name of Officer involved in your complaint?
 
 * required

*

Date this incident occured?
 
 * required

*

Time the incident occured?
 
 * required

*

Location where the incident occured?
 
 * required

*

Nature of your complaint? What happened?
 
 
What type of action are you requesting regarding this complaint?
 
 
Your e-mail address for any response or additional questions we may have?
 
 
Any additional comments you may have?
 
 

Even when we are not hiring, we will accept on-line applications for the position of Police Officer. These applications are kept on file for one year from submission date. Should an opening occur in that time frame, anyone who has filled out an on-line application will be notified of the job opening.
The following form is a preliminary-application for employment with the Albia Police Department. It contains the basic information we require to determine if is necessary to complete a full written application for employment. If this is determined to be the case, you will be contacted by telephone or e-mail. Thank you for your interest and participation.

The fields marked with (*) are required fields.

*

Please enter your full name. (Last name, First name, Middle name)
 
 * required

*

Please enter your driver's license number and the state in which you are licensed to drive.
 
 * required

*

Please enter your place of birth.
 
 * required

*

Are you a United States Citizen?
 
Yes
No

*

Your date of birth? (Month/Date/Year)
 
 * required
 
What is your e-mail address?
 

*

What is your current full mailing address? (Street, Apt. # City, State, ZIP Code)
 

*

What is your permanent address? (if different than that listed above)(Street, Apt. #, City, State, & ZIP Code)
 

*

Please list phone numbers where you can be reached. (Residence, Cellular, Pager ect.)
 

*

List High Schools attended, dates attended, locations of schools, and dates of graduation. Did you recieve a diploma or GED?
 

*

List colleges attended, dates attended, locations of schools and dates of graduation. List credit hours recieved. Also list degrees held. (if any)
 

*

Have you ever had any disciplinary action taken against you in during your scholastic, military or employment careers? (Explain)
 

*

List any awards, honors, citations, athletic endeavors or special recognition you have recieved. Any special abilities (computer skills etc.) languages spoken in addition to english, licenses or certificates to practice. (PLEASE BE SURE TO INDICATE IF YOU ARE CURRENTLY A CERTIFIED PEACE OFFICER IN IOWA OR ANY OTHER STATE.)
 
 
Please list any internships you have completed. (Including locations, dates and a name and phone number for your supervisor)
 

*

Please list your residence history to include ALL of your residences in the past 10 years. (This includes school or military addresses) (Include dates of residency, Address, City and State.)
 

*

What is the total amount of your financial obligation? (Also list if monthly obligations are kept current and any other sources of income you have other than your salary)
 

*

If you have ever been arrested or changed with any violation, including traffic citations, list the date, place, charge, disposition and details.
 

*

Please list if any member of your immediate family has ever been arrested for any violation other than traffic, and explain the details.
 

*

Have you ever been a plaintiff or defendant in any court action? (Including protective orders/divorce) (Please give date, place, court names of parties involved, nature of action and final disposition.)
 

*

Have you ever served in the military? If so, what dates of active duty, branch of service, highest rank achieved, serial number and type of discharge.
 
 
Are you now, or have you ever been a member of any club, society or organization, or a volunteer firefighter, Police or Sheriff Reserve? If so, please explain.
 

*

Please list your employment history, beginning with your most recent employer. Include the name and address of the employer, dates of employment, type of work performed, salary recieved, name of supervisor and a contact telephone number. Please list as many as possible in the space provided. (We may contact you for additional information)
 
 
List living relatives. Please include name, address, city, state, and date of birth and phone numbers. (Spouse, children, brothers, sisters, father and mother)
 

*

List three references (not relatives, present employers or teachers) who are responsible adults of reputable standing in their communities, who have known you well during the past five years. Include names, addresses, occupations, number of years acquainted and phone numbers.
 
 
List any additional information that you feel is important for us to know regarding you as a potential employee of the Albia Police Department.
 

*

Are you willing to sign an Authorization for Release of Personal Information so we may conduct a background investigation which will include records from educational institutions, financial or credit institutions, medical and psychiatric treatment or consultation, employment and pre-employment records, legal records, including criminal and civil actions?
 
Yes
No
 

Albia Police Department - Albia, Iowa