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2. Commendation or Concern

   Use this form to submit a commendation or express a concern regarding the performance or conduct of a Town of Wickenburg employee or public servant.

   Important:

   • To report a crime, please call the non-emergency line at (928) 684-5411 or dial 911 in an emergency.
   • Intentionally filing a false report may result in criminal and/or civil legal proceedings.
4. Type of Submission:
   -- Select One --CommendationConcern
6. Date and Time of Incident (Approximate time is acceptable)
9. Time:
11. Location of Incident:
13. Employee(s) or Public Servant(s) Involved: (if known)
15. Description of Incident: (Please provide a detailed account of the event)
17. Your Contact Information
19. Name
21. Phone Number:
23. Email Address:
25. Contact:

    Tarah Mayerhofer

    Human Resources Director

    Town of Wickenburg

    928-668-0508

    hr@wickenburgaz.gov

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field