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Commendation or Complaint Form

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This form may be used to make formal commendations or complaints about the service provided by Franklin County Department of Public Safety.
Choose One*
1. Commendation
2. Complaint
Name
Address
City
State
Zip Code
Phone Number
Email Address
Date and Time of Incident
Date and Time of Incident
Date and Time of Incident
Location/Address of Incident
Name (s) of FCDPS Employee/Volunteer (if known)
Description of Incident*
Signature*
Date Form Submitted
Date Form Submitted