Citizen Comment/Complaint Online Form

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This is a form you can complete online and it will be emailed directly to the appropriate staff member at the City. If you would prefer to print and complete the form to send to the City offices, click here

All complaints must contain the name of the person making the complaint in order for the City to respond. The information is confidential, and the City will not provide the information to the public.
Please correct the fields below:

Please feel free to contact us with any comments or questions.

PO Box 1007
Kalama, WA 98625
360-673-4561 or cityclerk@cityofkalama.com

Alternatively, you may fill out the form below and someone will contact you.  All complaints must contain the name of the person making the complaint in order for the City to respond.   The information is confidential, and the City will not provide the information to the public.

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Please feel free to contact us with any comments or questions. PO Box 1007 Kalama, WA 98625 360-673-4561 or cityclerk@cityofkalama.com Alternatively, you may fill out the form below and someone will contact you. All complaints must contain the name of the person making the complaint in order for the City to respond. The information is confidential, and the City will not provide the information to the public.

Nature of the Complaint

Nature of the Complaint

Description of the Issue - Complaint

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Would you like to be contacted regarding your comments?
Would you like to be contacted regarding your comments?
How do you prefer we contact you?
How do you prefer we contact you?

By submitting this form, I CERTIFY that all statements and information furnished on this form are true, complete and correct to the best of my knowledge and belief, and are made in good faith.  I understand that statements or information furnished on this form are subject to verification and I agree to furnish supporting documents or information when so requested and/or names, addresses and phone numbers (if known) of officials or other individuals who can substantiate the above information.  I also understand that intentional misstatements or falsification may result in disciplinary action.

For Office Use Only

 

  1. To receive a copy of your submission, please fill out your email address below and submit.