Gouverneur, NY · St. Lawrence County

No notary required

Citizen Complaint Form

Town of Gouverneur residents can use this form to submit a written complaint to the town’s Enforcement Officer.

What this form is

The Citizen Complaint Form lets a person formally bring a complaint against someone before the Town of Gouverneur Enforcement Officer. It asks for the subject’s name, address, and phone number, an explanation of the complaint, and the complainant’s signature and phone number. The form says the complainant’s name will remain confidential, but action will not commence without a signature and written complaint.

Who needs it

A person who wants to formally bring a written complaint against someone before the Town of Gouverneur Enforcement Officer can use this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This complaint form is signed without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Town of Gouverneur Citizen Complaint Form.

  2. 2

    Complete The Form

    Clearly print the available information, including the subject’s details and an explanation of the complaint.

  3. 3

    Sign And Date

    Sign the form; the document says action will not commence without a signature and written complaint.

  4. 4

    Submit To The Town

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Citizen Complaint Form?
No. This document is signed without a notary; the signer just signs and dates it.
How do I submit the Citizen Complaint Form?
Submit it to the city department named on the form; check the city website for current contact details. The form identifies the Town of Gouverneur Enforcement Officer.
What information does the complaint form ask for?
It asks for the name, address, and phone number of the person the complaint is against, an explanation of the complaint, and the complainant’s signature and phone number.
Is my name kept confidential?
The form says your name will remain confidential. It also says action will not commence without your signature and written complaint.

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.