Manorhaven, NY · Nassau County

No notary required

Complaint Form

Manorhaven residents and other complainants use this form to report an issue and provide contact, location, and complaint details to the village.

What this form is

This form lets a person report a complaint to the Incorporated Village of Manorhaven. It records the complainant’s contact details, the address or location and parcel information for the complaint, its nature, and village review and follow-up actions. The complainant may indicate whether a callback is wanted and signs and dates the form.

Who needs it

Anyone wishing to report a complaint to the Incorporated Village of Manorhaven can use this form to share its location and nature.

How to submit it

Mail or drop off the complaint at 33 Manorhaven Blvd., Port Washington, NY 11050; the form also lists fax number 516.883.4535 and [email protected] for email.

About notarization

This complaint form is signed without a notary; the complainant signs and dates it, and the form lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Manorhaven Complaint Form PDF.

  2. 2

    Complete The Form

    Enter your contact details, complaint location and nature, and whether you want a callback.

  3. 3

    Sign And Date

    Sign and date the completed complaint form.

  4. 4

    Submit To The Village

    Mail or drop off the form, or send it by fax or email using the details printed on the form.

Frequently asked questions

What information does the Manorhaven Complaint Form request?
It requests the complainant’s name and contact details, whether a callback is wanted, the complaint’s address or location and parcel information, and the nature of the complaint.
How do I submit the Manorhaven Complaint Form?
Mail or drop it off at 33 Manorhaven Blvd., Port Washington, NY 11050. The form also lists fax number 516.883.4535 and [email protected].
Do I need a notary for the Manorhaven Complaint Form?
No. The complainant signs and dates this form; it does not list a notarized attachment or sworn step.

Need something notarized?

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