Complaint Forms

Please fill out one of the forms below. If using the pdf version, please send it to the Lincoln, NE office.

Complaint Form PDF:

complaint-form.pdf

 

Complaint Form

Person Reporting(Required)
(You will be kept anonymous)
Address of Person Reporting(Required)

Contact Information

Preferred Method of Contact
(To contact you if more information is needed)
(To contact you if more information is needed)

Incident Information

MM slash DD slash YYYY
Time of Incident
:
Individual(s) Involved(Required)

Name of Individual(s) Involved
Address (if known) of Individual(s) Involved

Confirmation & Consent

Signature(Required)
MM slash DD slash YYYY

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