Customer Complaint Form Pueblo Regional Building Department printable pdf download

CUSTOMER COMPLAINT FORM

PUEBLO REGIONAL BUILDING DEPARTMENT

830 N Main St. Pueblo, CO 81003

Please print and complete this form and return it to this office in person, mail or email to .

YOUR NAME_________________________________________________ TODAY’S DATE____________

YOUR ADDRESS __________________________________________________________________________

YOUR PHONE NUMBER ___________________________________________________________________

THIS COMPLAINT IS ABOUT _______________________________________________________________

WHEN DID THIS HAPPEN __________________________________________________________________

WHAT IS YOUR COMPLAINT (please be specific you may use the back of this form or attach additional

sheets if needed) ____________________________________________________________________________

__________________________________________________________________________________________

WHAT WOULD YOU LIKE TO HAVE DONE AS A RESULT OF THIS COMPLAINT? ________________

__________________________________________________________________________________________

WHAT OTHER INFORMATION DO YOU THINK IS IMPORTANT FOR US TO KNOW?______________

__________________________________________________________________________________________

*******************************DO NOT WRITE BELOW THIS LINE **************************

Date received__________________ Date Reviewed ________________ Reviewed by ____________________

Customer Complaint Form Pueblo Regional Building Department