Citizen Complaint Form

This form records citizen complaints against HACC’s Public Safety and Security Department.

The executive director of safety and security will review and investigate complaints and respond to the complainant.

Please understand that if you desire to file an anonymous complaint, our ability to investigate the complaint may be limited.

REQUIRED INFORMATION
Today’s date:	mm/dd/yyyy
Date of incident:	mm/dd/yyyy
Name of complainant:
Address:
Phone number:
COMPLAINT INFORMATION
Please be as specific as possible in your complaint by including names, contact information and witnesses