Complaint Form

Please use the form below to submit a complaint against one of our officers or employees. Your message will be reviewed by a member of our staff and if necessary you may be contacted for more information. We appreciate your comments.

If your browser does not support forms, you may send us an e-mail to pcsoweb@placer.ca.gov providing the information below in your message. We will have a representative contact you as soon as possible to confirm the information in our records.

Your Information

First Name:

Middle Name:

Last Name:

Your Physical Address

Physical Address:

City:

State:

Zip Code:

Your Mailing Address

Street Name:

City:

State:

Zip:

Your Contact Information

Home Phone:

Work Phone:

Email Address:

Employee you would like to complain about

Employee's name / description:

Description of Event: