Freeland, PA · Luzerne County
Citizen Complaint Form
Freeland residents can use this form to describe an incident and submit a complaint to the Borough, with their contact information and signature.
What this form is
The Citizen Complaint Form lets a complainant provide their name, address, phone number, and a description of an incident and the nature of the complaint. The form includes a verification that the facts are true and correct to the best of the signer’s knowledge or information and belief. Use it to submit a complaint to the Borough; the document does not specify which complaints qualify.
Who needs it
A person who wants to submit a complaint to Freeland Borough and provide their contact information and a description of the incident can use this form.
How to submit it
Return the completed form to the Borough Office at 526 Fern St., Freeland, PA, or email it to [email protected].
About notarization
This form is signed without a notary; it includes a verification subject to penalties for unsworn falsification, and the signer signs and dates it.
How to submit this form
- 1
Download The Form
Download the Citizen Complaint Form PDF.
- 2
Complete The Form
Enter your contact information, describe the incident and complaint, and provide the date and signature.
- 3
Review The Verification
Review the verification stating that the facts are true and correct to the best of your knowledge or information and belief.
- 4
Return It To The Borough
Return the form to the Borough Office at 526 Fern St., Freeland, PA, or email it to [email protected].
Frequently asked questions
- What information does the Citizen Complaint Form ask for?
- It asks for the complainant’s name, address, and phone number, a description of the incident and complaint, the date, and the complainant’s signature.
- How do I submit the Citizen Complaint Form?
- Return it to the Borough Office at 526 Fern St., Freeland, PA, or email it to [email protected].
- Do I need a notary for the Citizen Complaint Form?
- No. The form is signed without a notary and includes a verification subject to penalties for unsworn falsification; the signer signs and dates it.
Need something notarized?
This Citizen Complaint Form doesn’t need a notary — but if you have another Freeland form that does, a commissioned online notary can help.