City of Carthage

Human Resources Report

Human Resources Department
326 Grant Street
Carthage, MO 64836

7 Questions

1) Date

2) List Complaint/ Suggestion Below:

3) Department where complaint/ suggestion originated?

4) Expected Outcome of complaint/ suggestion:

5) Do you wish to remain anonymous? If no, please list name below:

Yes

No

6) First Name

7) Last Name