Dumfries
Complaint - Suggestion Form

Dear Citizen:

The Town of Dumfries is very interested in hearing your thoughts and ideas. The Town has an established complaint -suggestion program available to all residents. All complaints and suggestions will be addressed by the Town Administration in a timely manner. The form can be dropped off at Town Hall during normal business hours 8:30am-5pm, Monday through Friday, or it can be placed in the night-drop box located next to the front door of the Town Hall Building.


Resident Information:

Name: __________________________________________________

Address: ____________________ ____________________________

City ____________________________ State ______ Zip __________

Home Phone ________________ Business Phone _________________

Date __________________

Nature of Complaint or Proposed Suggestion

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Signature_____________________________ Date_______________

 

FOR OFFICE USE ONLY

Complaint Logged By ____________________________ Date____________________

Complaint File #______________________