Bessemer, PA · Lawrence County
Customer Complaint Form
Bessemer Borough’s Customer Complaint Form lets customers provide contact information and describe a complaint for borough staff to receive.
What this form is
This form records a customer complaint filed with Bessemer Borough. It asks for the complaint filing date, the name of the person receiving the complaint, the customer’s name, address, phone numbers, and the nature of the complaint. The form does not state where or how to submit it.
Who needs it
Customers who want to report a complaint to Bessemer Borough can use this form to provide their contact details and describe the issue.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
No notary is required; the form has no signature field or notarized attachment, and it records complaint dates and contact information.
How to submit this form
- 1
Download the Form
Download the Customer Complaint Form.
- 2
Complete the Form
Enter the complaint dates, receiving person's name, your contact information, and the nature of the complaint.
- 3
Gather Attachments
The form does not list any attachments.
- 4
Submit to the Borough
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Customer Complaint Form ask for?
- It asks for complaint dates, the receiving person's name, customer contact details, and the nature of the complaint.
- Who can use this complaint form?
- Customers can use the form to provide their contact information and describe a complaint filed with Bessemer Borough.
- Do I need a notary for the Customer Complaint Form?
- No. The form has no notary block or signature field, and it does not identify a notarized attachment or step.
- How do I submit the Customer Complaint Form?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.