Customer Complaint Form

Have you reached out to the appropriate department as outlined in the first step of this policy? *

Yes

What is the position of the employee you have spoked with regarding the matter? *

Date Received *

Year

Month

Day

First Name *

Last Name *

Mailing Address *

Email *

Phone *

Summary of Complaint *

What is your complaint? Please include relevant date(s), location, and background information, including municipal employees you have contacted regarding this matter.

Resolution: How could the situation be improved?

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