Wellston, OH · Jackson County
Complaint Form
Wellston residents can use this form to report a complaint or allegation involving a city employee and provide details about the incident.
What this form is
The Complaint Form records the complainant’s contact information, the employee named in the complaint, a summary of the allegations, and the occurrence location, date, and time. It also provides space for witness information and signatures, along with fields for city staff to record receipt and review. A notice warns that statements may be presented to a magistrate or judge in lieu of sworn testimony and that false statements may lead to criminal punishment.
Who needs it
A person wishing to make a complaint or allegation against a City of Wellston employee can complete this form.
How to submit it
The form lists the City of Wellston at 203 East Broadway Street, Wellston, Ohio 45692, and phone number 740-384-2720. It does not specify a submission method.
About notarization
This document is signed without a notary; the form provides signature and date fields, and its notice warns about statements presented in lieu of sworn testimony.
How to submit this form
- 1
Download The Form
Download the City of Wellston Complaint Form.
- 2
Complete The Form
Enter your contact information, the employee’s name, the complaint summary, and the occurrence details.
- 3
Add Witness Information
If applicable, provide the witness’s contact information. The form also includes signature and date fields.
- 4
Contact The City
The form lists the City at 203 East Broadway Street, Wellston, Ohio 45692, and phone number 740-384-2720; it does not specify a submission method.
Frequently asked questions
- What is the Wellston Complaint Form for?
- It records a complaint or allegation against a city employee, including details about the occurrence and contact information for the complainant and any witness.
- Who can complete this complaint form?
- A person making a complaint or allegation against a City of Wellston employee can provide their information and a summary of the complaint.
- Do I need a notary for the Wellston Complaint Form?
- No. The form has signature and date fields but no notary block. Its notice says statements may be presented to a magistrate or judge in lieu of sworn testimony.
- How do I submit the Wellston Complaint Form?
- The form lists the City of Wellston at 203 East Broadway Street, Wellston, Ohio 45692, and phone number 740-384-2720. It does not state how to submit the form.
Need something notarized?
This Complaint Form doesn’t need a notary — but if you have another Wellston form that does, a commissioned online notary can help.