To submit a citizen complaint, please complete the form below.  Unless otherwise noted, all fields are required.

    Your Name

    Your Address

    Your Phone

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    Nature of Complaint

    Location of Complaint

    Non-Discrimination Statement
    The following information is requested by the Federal Government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname.

    Ethnicity (optional)

    Race (optional)

    Please click Submit button one time only. Transmission may take up to ten seconds.

    Printable Form

    Instead of completing the online form, you may print, complete, and return the printable Citizen Complaint Form.

    Printable Form PDF »

    Urgent Matters

    For immediate assistance, please call us at (830) 393-3105.

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