Perry, NY · Wyoming County
Citizen Complaint Form
The Citizen Complaint Form lets Perry residents and property owners report concerns about Village employees, policies, or procedures to the Village for review.
What this form is
Use this form to document a complaint about a Village of Perry employee, policy, or procedure. The form says complaints must be filed with the Village Clerk within 30 days of the incident; otherwise, the complaint may be considered withdrawn and handled as an inquiry. It asks for your contact details, incident information, witnesses, a statement, and your requested resolution.
Who needs it
Perry residents and property owners who want to make a formal complaint about a Village employee, policy, or procedure should complete this form.
How to submit it
File the complaint with the Village of Perry Clerk within 30 days of the incident. The form lists 46 North Main Street, Perry, NY 14530.
About notarization
This document is signed and dated without a notary; it does not identify a sworn attachment or related notarized step.
How to submit this form
- 1
Download The Form
Download the Citizen Complaint Form for the Village of Perry.
- 2
Complete The Form
Provide your contact details, complaint category, incident information, statement, and requested resolution.
- 3
Add Your Signature And Date
Sign and date the form to verify your statement.
- 4
File With The Village Clerk
File the complaint with the Village of Perry Clerk within 30 days of the incident.
Frequently asked questions
- Do I need a notary for the Citizen Complaint Form?
- No. The form has a signature and date line but no notary block; it does not identify a sworn attachment or related notarized step.
- How do I submit the Citizen Complaint Form?
- File it with the Village of Perry Clerk within 30 days of the incident. The form lists 46 North Main Street, Perry, NY 14530.
- What complaints can I report with this form?
- The form is for complaints regarding the conduct of Village employees or Village policies and procedures.
- What information does the form ask for?
- It asks for your contact information, incident date, time and location, possible witnesses, a complaint statement, and the resolution you consider acceptable.