Free Community Complaint Form Template
Community Complaint Form
Please complete all sections to ensure your complaint is addressed appropriately.
Personal Information
Name
Address
Phone Number
Complaint Details
Date of Incident
Location of Concern
-
Park
-
Road
-
Facility
-
Individuals or Organizations Involved (if known)
|
Name(s) |
Contact Number |
|---|---|
|
|
|
|
|
|
|
|
|
Nature of Complaint
Check all that apply:
-
Maintenance Issue (e.g., broken equipment, cleaning)
-
Noise Complaint
-
Safety or Security Concern
-
Public Nuisance
-
Disruption of Services (e.g., water, waste collection)
Description of Incident
Provide a detailed account of the issue, including dates, times, and relevant interactions. Attach additional pages if necessary.
Action Taken
Have you reported this issue to anyone else?
If yes, please specify:
Desired Resolution
Describe how you would like this to be resolved.
Supporting Document
Upload a file to support the complaint.
By signing below, I affirm that the information provided is accurate to the best of my knowledge.
Name:
Signed:
Complaint Form Templates @ Template.net
