Comments & Feedback

General information

Please complete the form below for any comments, compliments, complaints or suggestions you may have that may require acknowledgement, corrective action or follow-up. You will receive a written acknowledgement within ten (10) working days. A written response on findings will be completed within (60) days. Title VI complaints should be sent or delivered to the Mayor’s Office for investigation in accordance with policy NSB 07-00.

Comments & Feedback

First Name *

Last Name *

Address

City/Village

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Zip Сode

Email *

Approximate Date of Incident/Situation

NSB Department or Division (if applicable)

Details of the situation/suggestion *

What would you consider a satisfactory resolution/response to this situation/suggestion?

Have you previously contacted anyone about this situation/suggestion?

• Yes
• No
• N/A

Person Contacted

Date Contacted

How Contacted

• In Person
• Telephone
• Written

What was the persons response/reply? (if applicable)

Would you like to be contacted by a NSB Representative on this issue? *

• Yes
• No

Submit