Submit Complaints – Town of Silver Lake, Indiana

Complaint Form

This form is used to submit complaints to the town on various issues.

Date(Required)

Contact Information:

I wish to remain anonymous.(Required)

The user can decide whether or not they want to remain anonymous. However, the submitted form will still have metadata that could be used if needed; however, the clerk treasurer will be the only one that sees this.

Name(Required)

First Last

Phone(Required)

Email(Required)

Are you a resident?(Required)

Please indicate whether or not you are a resident of the Town of Silver Lake.

I am an in-town resident.

I am not an in-town resident.

Complaint Options:

Please choose the option pertaining to your complaint below.(Required)

Only one option per complaint form.

Detailed Description.(Required)

We want to be able to help, so please give a very detailed description of the complaint.

Upload Any Photos That You Have Of The Complaint:

Keep in mind we can only accept so many photos off of this form. Please pick one to three photos that best describe and show your complaint. The clerk's office might request more photos at a later time.

Drop files here or

Max. file size: 128 MB, Max. files: 3.

Address

Please indicate the address to which your complaint is most close.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Have you complained of this issue prior?

Date of your first complaint(Required)

Please try to be as accurate as possible.

What Should Be Done With Your Complaint:

Department that your complaint should be directed to(Required)

Would you like your complaint to go to the town council?(Required)

By selecting no, your complaint may not be handled properly with your selected department.

Complaint Form

Contact Information:

Complaint Options:

What Should Be Done With Your Complaint:

Form Consent: