County of York, Pennsylvania Department of Emergency Services
Online Complaint Form


This page is intended for use by York County 911 employees and
emergency responders only. Unauthorized use is prohibited.

Before submitting a complaint, please review the Complaint Procedures.

All complaints must be requested by the highest-ranking individual within the requesting agency or their designee.

Please fill out and submit the following form. All dates should be entered as mm/dd/yyyy.

All fields are required.
Incident date:  Click here to pick the date
Incident time:
Incident type:
Incident location:
Incident occurred via: Radio     Telephone     Both
I am requesting: Audio Recording     Copy of CAD Event Log     Both     Investigation only
Name and title of person lodging complaint:
Agency of person lodging complaint:
Today's date:  Click here to pick the date
Department: EMS     Fire     EMA     Police     911     Other    
Phone/Pager #:
Email address:
Please state your complaint here:
In the text box below, please enter the text shown in the image.
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