City Managers Office
Citizen's Complaint Form

The City of DeKalb is committed to serving the public in a professional and courteous manner.  Furthermore, the City of DeKalb wants to ensure that all of our citizens are treated fairly and equally.  

This form is intended to be provided to citizens who have complaints about the treatment they received by employees of the City of DeKalb.  This form may be obtained from any office at the City of DeKalb.  This form should be returned to the city manager's office or the legal division.

Please fill out the following information, and click on the "submit" button.

Name-(Required)
First Name: Middle Initial:   Last Name: 


Address-(Required)
Number:  Street: 

City:  State:  Zip:-
 

Home Phone Number-(Required)  --   Work Phone Number-(Required)  --
 
Description and date of incident that is the basis for your complaint:

Do you believe that you were treated differently because of your race, gender, religion, ethnicity, national origin, disability, age or sexual orientation?

Yes

 No
If yes, please explain:

By selecting "I AGREE", I hereby attest that the information provided herein is true and accurate.  I AGREE

Thank you for your assistance and concern. 
By selecting "Submit", this form is sent directly to the City Manager's desk. 
If you wish, you may print this form, and mail it to:

Mark Biernacki-City Manager-Attn:CCF
City of DeKalb Municipal Building
200 S. Fourth St.
DeKalb, IL 60115