Gouverneur, NY · St. Lawrence County
Citizen Complaint Form
The Citizen Complaint Form lets people submit a signed written complaint to the Village of Gouverneur Enforcement Officer.
What this form is
This form lets a person bring a written complaint before the Village of Gouverneur Enforcement Officer. It asks for the subject’s name and address, a phone number, an explanation of the complaint, and the complainant’s signature and date. The form says the complainant’s name will remain confidential, but action will not commence without a signature and written complaint; extra explanation can go on the reverse side.
Who needs it
Anyone wishing to formally bring a complaint before the Village of Gouverneur Enforcement Officer should complete and sign this form.
How to submit it
Sign and submit the written complaint to the Village of Gouverneur Enforcement Officer; the form gives no mailing address, email, or submission method.
About notarization
This complaint form is signed without a notary; it mentions no notarized or sworn attachment, so the signer simply signs and dates it.
How to submit this form
- 1
Download The Form
Download the Citizen Complaint Form.
- 2
Complete The Form
Clearly print the available information, including the complaint details, and enter the date.
- 3
Add More Explanation If Needed
Use the reverse side of the form if you need additional space to explain the complaint.
- 4
Sign And Submit
Sign the form and submit the written complaint to the Village of Gouverneur Enforcement Officer.
Frequently asked questions
- What is the Citizen Complaint Form used for?
- Use it to bring a written complaint before the Village of Gouverneur Enforcement Officer. The form asks for complaint details and the complainant’s signature.
- Do I need a notary for the Citizen Complaint Form?
- No. This document is signed without a notary, and it mentions no notarized or sworn attachment; the signer simply signs and dates it.
- How do I submit the Citizen Complaint Form?
- Sign and submit the written complaint to the Village of Gouverneur Enforcement Officer. The form does not provide a mailing address, email, or submission method.
- What information does the complaint form ask for?
- It asks for the subject’s name, address, and phone number, an explanation of the complaint, and the complainant’s signature and date. Extra explanation may go on the reverse side.
Need something notarized?
This Citizen Complaint Form doesn’t need a notary — but if you have another Gouverneur form that does, a commissioned online notary can help.