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| York County PA Department of Emergency Services Complaint Form |
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Before submitting a complaint, please review the Complaint Procedures.
All complaints must be requested by the highest-ranking individual within the requesting agency or their designee.
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| * First Name |
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| * Last Name |
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| * Title |
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| * Agency |
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| * Department |
EMS Fire EMA Police 911 Other
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| * Phone/Pager#: |
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| * Email Address: |
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| * Please state your complaint here: |
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Incident Details
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The information provided in accordance with this request is confidential and except for evidentiary purposes in legal proceedings, it is for internal use by the requester only and may not be copied, reproduced or otherwise provided to any outside third party without the specific written consent by an authorized agent of the County of York.
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