Concerns or Complaints - Town of Cathlamet

To submit a concern or complaint, please complete this form or download the printable form here. To report code violations, please click here.

Under Chapter 42.56 RCW, the Public Records Act, a Complaint Form is a public record subject to disclosure. You, as a complainant, may request that your identity not be disclosed to the public. If you request that the Town not disclose your identity, the Town will attempt to honor your preference, but makes no assurances that your identity will not be made public.

Form Type*

RE: Town Department*

Complainant Information

Full Name*

Mailing Address

E-mail

Phone Number

Response Requested?*

Preferred Contact Method*

Complaint Information

Name(s) of Parties Involved

Location of Incident

Witness Name

Witness Phone #

Details of Complaint*

Best Resolution

Pictures/Other (Optional)

Staff Involved, Names:

Certification

Under Chapter 42.56 RCW, the Public Records Act, a Complaint Form is a public record subject to disclosure. You, as a complainant, may request that your identity not be disclosed to the public. If you request that the Town not disclose your identity, the Town will attempt to honor your preference, but makes no assurances that your identity will not be made public. Additionally, if the complaint results in a case being filed in court, you will most likely be named as a witness and your identity will therefore be disclosed.*

I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.*

Signature*

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