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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. WITNESS CONTACT INFORMATION
24. Name of Business and/or Name of Person
26. Address
28. City
29. State
30. Zip Code
32. Phone Number
33. Email Address
35. COMPLAINT DESCRIPTION
37. UPLOAD SUPPORTING DOCUMENTATION (Optional)
39. Supporting Documentation #1
41. Supporting Documentation #2
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

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