Complaint Form Online Submission

This form is to be completed for complaints within the Town of Merton. A Town employee or Town official will follow up with you as soon as possible.

Anonymous and/or incomplete complaints will not be accepted or followed up on.

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Name *

Address *

Email Address *

Telephone Number *

Incident Date

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Incident Time *

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Incident Time AM

Incident Time PM

Incident Location *

Name of Employee (if applicable and known)

Nature of the Complaint *

Incident Picture or Video (Recommended)

Files must be less than 6 MB.
Allowed file types: gif jpg jpeg png avi mov mp3 ogg.

Town Office Use Only

Received By

Forward To:

O Building Inspection

O Clerk's Office

O Department of Public Works

O Lake Patrol

O Planning Department

O Treasurer's Office

Town Official Signature

Date

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Contact Information