This form replaces the GeoReporting entry system's entry point. This form is based on ESRI's Survey123 application. It is mobile friendly.
NOTE: In order for this form to be processed, all fields are required to be filled in except for the "E-mail Address", "Verify Address/Location of Issue", and "Complaint Description" fields. While an E-Mail Address is not required, it does speed up follow ups and processing of the complaint. Complaints sent using "Anonymous" or similar as a: name, address, or a false phone number will not be processed.