Wiggins Complaint Form | Town of Wiggins

What is today's date.

What department does your concern relate to? (If applicable)

If "other" is marked, please indicate the department here.

First

Last

Suffix

What is your physical address?

Address

City/Town

State/Province

ZIP/Postal Code

What is your email?

What is the best phone number to reach you at?

What is the nature of your complaint?

What is the address your complaint is regarding to? (if applicable)

Address

City/Town

Please provide details of your complaint.