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 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