Incident/Complaint Submission

Pursuant to Resolution 279-26 – Incident and Complaint Policy and Procedure, the Village of Birchwood maintains a standardized process for receiving and documenting citizen complaints, concerns, and incident reports.

You may download a printable complaint form below, or submit your report directly using the online form on this page.

Please note: Incident and complaint records are Village records and may be subject to public disclosure under Wisconsin Public Records Law (Wis. Stat. §§ 19.31–19.39).

Download Incident / Complaint Form

Complainant Information

Name of Complainant(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Telephone Number(Required)

Email Address

Nature of Complaint, Concern, or Incident

Please describe the complaint, concern, or request in detail. Include dates, locations, individuals involved (if known), and any other relevant information.(Required)