Citizen Complaint Form Template
Enable citizens to report community issues and service complaints with a structured form that routes to appropriate departments.
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Natural Language
AI parses responses
Higher Completion
Feels like texting
No Rigid Fields
Flexible responses
What is a Citizen Complaint Form?
A citizen complaint form provides a formal channel for residents to report issues with government services, infrastructure, or community problems.
Categorization enables proper routing to responsible departments. Location and timing details help crews find and address issues.
Anonymous reporting options encourage reporting while contact information enables follow-up and resolution notification.
Key Features
Issue Category
Type of problem for routing
Location Details
Where the issue is
Description
What the problem is
Evidence Upload
Photos of the issue
Contact Preference
Anonymous or follow-up desired
Resolution Request
What outcome is sought
Why Use This Template?
Issue Identification
Discover problems throughout community
Proper Routing
Get issues to right department
Citizen Engagement
Show responsiveness to concerns
Documentation
Track issues and resolutions
What's Included in This Template
Name (optional)
textAllow anonymous reports
Complaint Category
selectRoads, utilities, noise, code, etc.
Location
textareaAddress or intersection
Date/Time of Issue
textWhen problem occurred/noticed
Description
textareaDetails of the problem
Photos
fileVisual evidence of issue
Desired Resolution
textareaWhat they want done
Contact me about this?
radioFollow-up preference
Perfect For
Public Works
Road conditions, streetlights, parks
Code Enforcement
Zoning, property maintenance violations
Utilities
Water, sewer, trash issues
Noise/Nuisance
Quality of life complaints
Frequently Asked Questions
Should complaints be anonymous?
Allow anonymous for sensitive issues. Contact info needed for follow-up. Both options serve different purposes.
What categories should I include?
Match to your departments: roads/potholes, streetlights, parks, water/sewer, trash, code violations, noise, graffiti, abandoned vehicles.
How should complaints be routed?
Automatically by category to responsible department. Alert supervisors for urgent issues. Track assignment and resolution.
How long should resolution take?
Depends on issue type. Emergencies: hours. Routine maintenance: days. Complex: weeks. Communicate expected timelines.
How do I close the loop with citizens?
If contact info provided, notify when resolved. Public dashboard showing resolved issues. Thank contributors for reporting.
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