Dispatcher Complaint Form
Report concerns or issues experienced with a dispatcher. Please provide as much detail as possible to assist with our investigation.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Incident
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
*
Dispatcher Name or ID (if known)
Type of Complaint
*
Please Select
Rudeness or Unprofessional Behavior
Delayed Response
Incorrect Information Provided
Failure to Dispatch Help
Other
Detailed Description of the Incident
*
Were there any witnesses?
Yes
No
If yes, please provide witness names and contact information
Upload Supporting Evidence (photos, audio, documents, etc.)
Upload a File
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Choose a file
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of
Preferred Method of Follow-Up
Email
Phone
No follow-up needed
Submit Complaint
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