City of Leon Citizen Complaint Form

City of Leon Citizen Complaint Form

Submit your complaint or concern to the City of Leon, Iowa. Please provide as much detail as possible to assist with our review.
Complainant Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Preferred Contact Method

PhoneEmailMailNo Contact Needed
Incident Details
Date of Incident*

MonthDayYear
Date
Time of Incident

Hour Minutes

AM/PM Option
Location of Incident*
Type of Complaint*

PoliceCity StaffNuisanceProperty MaintenanceTrafficOther
Detailed Description of Incident*
Names or Badge Numbers of Involved Employees (if applicable)
Witnesses' Contact Information (if applicable)
Resolution Sought
What outcome are you requesting?
Consent & Acknowledgment
I certify that the information provided is true to the best of my knowledge.*

I certify the information is true
I consent to be contacted by the City of Leon regarding this complaint.

I consent to be contacted
I wish to remain anonymous (Note: Choosing to remain anonymous may limit the City's ability to follow up with you.)

I wish to remain anonymous
Optional Attachment Upload (photos, documents, etc.)

Cancelof
Signature*
Date Signed*

MonthDayYear
Date
Should be Empty: