Complaint Form Complainants NameEmail Address Address Street/Mailing Address Telephone No Country Phone Number Fax NoComplaint Filed AgainstAddress Where Complaint Located Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Length of Time Problem Has ExistedNature of ComplaintSignature of ComplainantPlease type your full name above to serve as your electronic signature.As a policy, the Borough of Oakmont will investigate the above-referenced complaint once this form is properly filled out and signed. Failure to sign and complete this form will void the investigative process.