Fire Rescue Citizen Complaint Form

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Polk County Fire Rescue
Office of Professional Standards
P.O. Box 9005, Drawer CA01
Bartow, Florida 33831-9005
(863) 534-6550

(To Be Completed by Person Registering Complaint)
Complainant Contact Information

 
 
 
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Incident Details

Please provide Location Address or Location Description or both.  

Section Involved:

Complaint is in relation to:

Employee Information (if available)
Witness Information (if available)
Narrative
 

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The Polk County Board of County Commissioners is an equal opportunity and affirmative action employer.

Polk County Board of County Commissioners