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Citizen Complaint Form

2. Citizens who wish to express dissatisfaction with the conduct of employees of Riley County should submit the online form below to ensure that a complete and proper investigation is conducted. <br><br><B>Please note: complaints concerning employees or services provided by the Police Department, District Court, or Extension should be directed to those agencies utilizing their complaint procedures.</B>

   Citizens who wish to express dissatisfaction with the conduct of employees of Riley County should submit the online form below to ensure that a complete and proper investigation is conducted.
   
   Please note: complaints concerning employees or services provided by the Police Department, District Court, or Extension should be directed to those agencies utilizing their complaint procedures.

4. Contact Information

6. Name:*

8. Address:*

10. City:*

11. State: *

12. Zip:*

14. Daytime Phone:*

15. Evening Phone:

16. Email Address:*

18. Name of the Employee (if known):

19. Employee's Department (if known):

21. Date of Incident or Complaint:
    Date of Incident or Complaint:

22. Time of Incident or Complaint:
    Time of Incident or Complaint:

24. Location of the Incident or Complaint:

26. Who else may have witnessed or seen the incident?

27. May we contact them?

    1. Yes
    2. No

29. Please be specific in the nature of your complaint concerning the behavior of the county employee.*

Leave This Blank:


31. 1. Receive email copy
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field