Lompoc Parks complaint form
Please complete all fields below and click on the SUBMIT button to send your complaint. Staff will address your concerns as soon as possible and you will be contacted with the results of our investigation. Please be aware that an adult (over 18 years) has to be available for contact. All complaints are confidential. Although anonymous reports are accepted, we request your contact information so that we may contact you if we need additional information to properly address your complaint. Also, if you do not leave your contact information, we will not be able to inform you of our actions.
Type of of Incident/Problem
*
Accessibility Problem
Bare/Brown Areas
Benches/Tables
BBQ Pits
Branches Broken/Dangling
Broken Glass
Cleanliness
Compliments
Damage
Deterioration
Dog(s) off Leashes
Dumping
Erosion
Excessive Noise
Flooded/Drainage Issues
Gopher Issues
Grass Needs Mowing
Graffiti/Tagging
Holes in Ground (Other than Gophers)
Illegal Activity
Leaves
Light Fixtures - Needed/Broken
Litter (Large Amount or Chronic)
Low Water Pressure
Missing
Needles/Syringes
Odor
Overflow
Painting Needed
Play Areas
Playground Equipment
Pruning Needed
Restroom Issues
Supply Low/Empty
Uneven
Usability Problems
Walkways
Weeds
Other
If Other, please explain here:
Date and Time of Incident
*
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Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Name of Location
*
Please Select
Barkin Park
Beattie Park
Briar Creek Park
Centennial Park
JM Park
Ken Adam Park
Pioneer Park
River Bend Park
River Bend Bike Park
River Park
River Park Campground
Ryon Park
Skate Park
Thompson Park
Westvale Park
Other
Hazard *: Does this observation pertain to a health and safety hazard and require immediate attention?
*
Yes
No
If location is other, please specify here:
Description of incident/Problem
*
Does this problem still exist?
Yes
No
Don't Know
Is the problem intermittent or constantly occurring?
Intermittent
Constantly Occurring
Not Sure
Your Title (Mr. Mrs. Ms. Dr.)
Full Name
First Name
Last Name
Day Phone Number
-
Area Code
Phone Number
Evening Phone Number
-
Area Code
Phone Number
Fax Phone
-
Area Code
Phone Number
E-mail - For a Return Receipt
*
Confirmation Email
Mail Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please contact me by:
Phone
Email
Fax
Mail
What is the best time to contact you?
You may upload images or any other supporting documents here:
SUBMIT
E-mail
Should be Empty: