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2. IMPORTANT:  This form is for complaints regarding city services. If you wish to file a Discrimination Complaint, please use the form at https://cityofholland.com/621/Discrimination-Complaint

   You may submit your complaint in-person. Call the Human Relations Department at 616-355-1322 to schedule an appointment to discuss and file your complaint. You may also use this online form to submit a complaint about City of Holland services. 
    
   We do our best to respond to you within a 24-business hours. Please note, this is a public document and may be subject to disclosure laws according to the Freedom of Information Act. 

4. DATE OF INCIDENT
   DATE OF INCIDENT

   DATE OF INCIDENT
6. COMPLAINANT INFORMATION
8. First Name*
9. Last Name*
11. Address
13. City
14. State
15. Zip Code
17. Phone Number*
18. Email Address*
20. Best time to reach for follow-up
    Best time to reach for follow-up
22. COMPLAINT DESCRIPTION
24. UPLOAD SUPPORTING DOCUMENTATION (Optional)
26. Supporting Documentation #1
28. Supporting Documentation #2
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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