Log a Concern or Complaint

Submission Visibility

Name

Phone

Relationship to Makosi

Date of Incident

Time of Incident

Location of Incident

Please describe the incident in as much detail as possible:

Are there any individuals that may have witnessed the incident? If yes, please provide their full names and contact information (where available) below:

Is there any physical evidence that supports your complaint? If so, please describe or attach a copy of the evidence:

Is this the first time you have raised this concern about this incident/person?

If yes, to whom did you direct the complaint/concern to?

Do you have any suggestions for resolving the complaint? If so, please explain:

Do you have any additional information or complaints? If so, please explain:

What is your desired outcome of the investigation?