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2. Use this form to file a complaint or report against a City of Allen employee. Your complaint will be reviewed by our Human Resources department and the employee's supervisor, if appropriate.
4. Complaint Details
   Please provide details about your encounter/interaction with this City of Allen employee.
6. Date of Encounter*
   Date of Encounter
7. Time of Encounter
   Time of Encounter Start Time

   —

   Time of Encounter End Time
8. Location of Encounter
10. Description of Encounter*
12. Attach a file (1/2)
13. Attach a file (2/2)
15. Employee Name
16. Department (if known)
18. Your Contact Information
    Contact information is not required to submit this form. However, we are unable to provide updates or request additional information regarding your complaint if this information is left blank.
20. First Name
21. Last Name
23. Address1
25. Address2
27. City
28. State
29. Zip
31. Phone Number
32. Email Address
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field