Affidavit of Complaint

State of [State]
County of [County]

Introduction:

Before me, the undersigned authority, on this day personally appeared [Your Name], who, after being duly sworn, deposes and says:

Statement of Facts:

I, [Your Name], am of sound mind, capable of making this affidavit, and fully competent to testify to the facts stated herein. I am over the age of eighteen years and have personal knowledge of the facts described below.
I reside at [Your Address]. I am employed as [Your Occupation] at [Your Company Name], located at [Your Company Address].
This complaint concerns [Respondent's Name], with whom I have a [Type of Relationship].
On or about [Date of Incident], at approximately [Time], at or near [Location of Incident], the following event(s) occurred: [Brief Description of Incident].
The actions of the Respondent constitute a violation of [Relevant Law/Statute/Nature of Violation]. These actions have caused [Describe the Harm or Injury Suffered].
I am making this affidavit to [State the Purpose, e.g., "initiate legal proceedings," "request an investigation," "support the issuance of a warrant"] against the Respondent for their actions. I seek [Describe the Relief Sought].

Sworn Oath:

I affirm under penalty of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief.

Executed on this [Day] of [Month], [Year].

Signature:

[Your Name]

SUBSCRIBED AND SWORN TO before me on this [Day] of [Month], [Year], by [Your Full Name], who is personally known to me or who has produced [Type of Identification] as identification.