Constituent Complaint Form | City Council District 1

Constituent Complaint Form

So we may better serve our constituents, please complete the following form and forward to our office.

Name
Street Address
City/State/Zip
Day Phone	Evening Phone
E-mail
Have you contacted another department within the city regarding your complaint? Yes No
If yes, please give the name of the department and the person(s) with whom you worked:
Explanation of Complaint
What would you like our office to do?

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