City

Complaints

Citizen Complaint Form

City of Van Meter

Citizen Complaint Form

Please complete and submit this form so that the City of Van Meter can investigate your complaint.

Complaint Information

Complainant's Information

Should a citation or abatement notice be issued, you may be required to testify to the above complaint in the Court of Law, do you agree to testify?
Should further information be requested by the City Council of the City of Van Meter, do you agree to attend the requested City Council Meeting?
If you select "NO" to either of the above questions, it is possible that the City of Van Meter may take no action on your complaint.
Complainant's Full Name (in place of signature)
Complainant's Full Name (in place of signature)
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