Do I need a notary for the Limited English Proficiency Complaint Form?

No. Sign and date the form without a notary. If you need more room to describe the incident, you may attach additional pages; the form does not say those pages must be notarized.

How do I submit the Limited English Proficiency Complaint Form?

Complete and sign the form, then return it to Cottonwood Municipal Court at 665 East Mingus Avenue, Cottonwood, AZ 86326.

What information does the complaint form ask for?

The form asks for your name, contact information, primary language, information about the program or service, incident details, a description of how you were denied meaningful access, and your signature and date.

Cottonwood, AZ · Yavapai County

No notary required

Limited English Proficiency Complaint Form

This bilingual complaint form lets people report limited-English-access concerns involving Cottonwood Municipal Court services, programs, or activities and explain the incident.

What this form is

Use this form if you believe you were not provided meaningful access to a Cottonwood Municipal Court or probation service, program, or activity because of limited English proficiency. It asks for your contact information and primary language, details about the service and incident, a description of the access concern, and your signature and date. Additional pages may be attached if needed.

Who needs it

People who believe they were denied meaningful access to a Cottonwood Municipal Court or probation service because of limited English proficiency can complete this form.

How to submit it

Complete and sign the form, then return it to Cottonwood Municipal Court, 665 East Mingus Avenue, Cottonwood, AZ 86326.

About notarization

This form is signed and dated without a notary; any additional pages attached to describe the complaint do not require notarization.

How to submit this form

1
Download the Form
Download the Limited English Proficiency Complaint Form.
2
Complete the Form
Provide your contact information, primary language, information about the service and incident, and a description of the access concern.
3
Gather Additional Pages
Attach additional pages if needed to describe how you were not provided meaningful access.
4
Sign and Return
Sign and date the form, then return it to Cottonwood Municipal Court, 665 East Mingus Avenue, Cottonwood, AZ 86326.

Frequently asked questions

Do I need a notary for the Limited English Proficiency Complaint Form?: No. Sign and date the form without a notary. If you need more room to describe the incident, you may attach additional pages; the form does not say those pages must be notarized.
How do I submit the Limited English Proficiency Complaint Form?: Complete and sign the form, then return it to Cottonwood Municipal Court at 665 East Mingus Avenue, Cottonwood, AZ 86326.
What information does the complaint form ask for?: The form asks for your name, contact information, primary language, information about the program or service, incident details, a description of how you were denied meaningful access, and your signature and date.

Need something notarized?

This Limited English Proficiency Complaint Form doesn’t need a notary — but if you have another Cottonwood form that does, a commissioned online notary can help.