Franklin County Auditor

Complaint Form

Complainant's Name:

Street Address:

City, State, Zip:

May we contact you by phone?:

YesNo

Home Phone Number (with area code):

Work Phone Number (with area code):

Date of Incident:

Today

Incident Time:

Business Name:

Incident Street Address:

Incident City, State, Zip:

Nature of Complaint:

Please explain your complaint:

Captcha:

Answer the question below:

Is nine = one ? (true/false)