City of Bexley: Citizen Complaint Form
Please note that this form is not intended to file a complaint regarding overall city services or a request for service. If you would like to request service, please use the Bexley Base service or contact the appropriate department.
Department *
Narrative of Complaint *
Please provide complete information for your complaint. Be as specific as possible: provide dates, times, name(s) of employee(s), witnesses, etc
Complaints Involving Discrimination or Bias *
It is unlawful for any individual or entity to engage in discrimination based on a person’s race, color, sex, sexual orientation, gender identity or expression, religion, national origin, disability, source of income, ancestry, familial status or military status. Does your complaint involve alleged discrimination or bias?
Required
Your Name
Your Address
Your Email Address
Your Phone Number
Acknowledgement and Certification
Please note that this form is not intended to file a complaint regarding overall city services or a request for service. If you would like to request service, please use the Bexley Base service or contact the appropriate department.
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