Service Request/Complaint Form

LOCATION OF COMPLAINT:

NOTE: Anonymity will be maintained between the complainant and the alleged offender, except where necessary in a court of law. However should this complaint proceed to Court, you may be required to give evidence as a witness and your name and your filed complaint will become a matter of public record. PERSONAL INFORMATION: This information is being collected for the purpose of conducting an Investigation. The information may be shared with applicable Mountain View County departments and agencies for the purpose of initiating appropriate action relative to this report. The collection of the personal information on this application is authorized and protected under the Freedom of Information and Protection of Privacy Act, Section 33(c). By providing this information, you have consented to its use for the above purposes. If you have questions about the collection and use of this information, you may contact, FOIPP Head, Legislative, Community and Agricultural Services, Mountain View County at (403) 335-3311.