Complaint Form - Village of Lowville NY

Village Complaint Form

First Name

Last Name

Complainant Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Date of Incident

Would you like to be contacted in response to this complaint?

Yes

Please describe the issue or concern

Who have you spoken with at the village regarding this issue?

Does the issue affect your safety or the safety of other residents?

Yes

If yes, please explain why?

What would you request the village do to resolve this matter?