Community Complaint and Incident Report
* Required
Business or Individual Name:
*
Your answer
Business or Individual Address:
*
Your answer
Business or Individual Phone Number:
*
Your answer
Person(s) making the statement
*
Your answer
Date & Description of complaint or Incident(s):
*
Your answer
Was 911 Called?:
*
Yes
No
Were the NCOs called? (Check one):
*
Yes NCO John Vlaovich
Yes NCO Horacio Cuervo
No
Was 311 Called?
*
Yes
No
If you called 311 please provide the reference number.
*
Your answer
Are pictures or videos available? If pictures or video are available please email them to
abettercollegepoint@gmail.com
or text them to 929 356 4344
*
Yes
No
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
