Form Center

Complaint Form

2. Complaints
   You may use this form to submit a complaint against a Placer County probation officer or employee. Your message will be reviewed by a member of our staff. If necessary, you may be contacted for more information. A representative will contact you as soon as possible. Alternatively, you may <a href="mailto:procomplaint@placer.ca.gov">email your complaint</a>.

   You may use this form to submit a complaint against a Placer County probation officer or employee. Your message will be reviewed by a member of our staff. If necessary, you may be contacted for more information. A representative will contact you as soon as possible. Alternatively, you may email your complaint.

6. Your Information

8. First Name*

9. Middle Name

10. Last Name*

12. Home Phone Number

13. Cell Phone Number

14. Work Phone Number

16. Email Address*

18. Physical Address*

20. City*

21. State*

22. Zip Code*

24. Mailing Address (If Different)

26. City

27. State

28. Zip Code

32. Placer Employee Information

34. Employee Name / Description*

36. Description of Event*

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field