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Discrimination Complaint/Comment Form

  1. Town of Castle Rock is committed to providing you with a safe and welcoming community and we want your feedback. Please use this form for suggestions, compliments, and complaints. 

    You may also call us at 303-660-1374 or mail to: Town of Castle Rock, 100 N. Wilcox St., Castle Rock, CO 80104.

    Please make sure to provide your contact information in order to receive a response.

  2. Section A: Accessible Format Requirements

  3. Please check the preferred format for this document*
  4. Section B: Contact Information

  5. Are you filing this complaint on your own behalf? *
  6. Please confirm that you have obtained the permission of the aggrieved party if you are filing on behalf of a third party.
  7. Section C: Type of Comment

  8. What type of comment are you providing? Please check which category best applies.*
  9. Which of the following describes the nature of the comment? Please check one or more of the check boxes.*
  10. Section D: Comment Details

  11. Section E: Follow-up

  12. May we contact you if we need more details or information?*
  13. If yes, how would you best liked to be reached? Please select your preferred form of contact below.
  14. Section F: Desired Outcome

  15. Section G: Signature

  16. Typing your name above constitutes a legal signature whereby you are confirming the information provided in this form is true and correct to the best of your knowledge.

  17. Leave This Blank:

  18. This field is not part of the form submission.