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.

*All fields required

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