Citizen Complaint Form

Citizen Complaint Form

Tell us what happened in the form below.
Date of Complaint

MonthDayYear
Date
Department of Compliant/Concern*
Complaint's Name*

First NameLast Name
Complaint's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Compliant's Email*
example@example.com
Compliant's Phone Number*
Please enter a valid phone number.
Describe accurately the details of your complaint and against whom:
Describe how the incident you are reporting about which has negatively impacted you:
Describe how the City can deal more effectively with this report:
Give additional comments which you believe will be important during further investigations on this report:
Upload Pictures or Documents which you believe will be important:

Cancelof
All compliants concerning Tool City Hall personel are taken seriously and will be investigated thoroughly and impartially. Persons wishing to make a formal compliant against a city employee must submit this completed form. When completed, the form will be emailed directly to City Hall for review.

The mere filing of this compliant does not sudstantiate the allegations. If an investigation determines the employee acted improperly, disciplinary action will be taken.
By signing you declare that all information you have given here is truthful and accurate.
Signature*

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Date

MonthDayYear
Date
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