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Nye County Government Complaint Form

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Your Name*
Today's Date*
Today's Date
Street Address, Town, Zip Code*
Mailing Address (If Different From Above)
Email*
Phone
Details of Complaint*
Location of Incident*
Date of Incident*
Date of Incident
Provide a detailed description of the incident, including any relevant facts, events, or actions that have led to the complaint:*
State the specific outcome you are seeking because of this complaint:*
Attach or include any supporting documents or evidence that may be pertinent to the complaint. This may include photographs, videos, correspondence, or any other relevant records.
NOTE: You will be redirected to the Risk Management Office page after hitting submit.