Service Requests, Feedback and Complaints

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Service Requests, Feedback and Complaints

Formal complaints about Town Services can be filed by completing the complaint form below, or in person at the Town Office, emailed to info@virden.ca, or by telephone (204) 748-2440.

<form-template>
	<fields>
		<field type="paragraph" subtype="p" label="If you have a submission for our staff, please complete the form below -  with enough information in terms of subject matter and location (if applicable)  -  that we can direct it to the correct department." class="paragraph"></field>
		<field type="date" required="true" label="Date " class="form-control calendar" name="date-1793905592275"></field>
		<field type="select" required="true" label="What is the nature of this submission?" description="It will help us direct it better." class="form-control select" name="select-1793905344515">
			<option value="option-1">General feedback</option>
			<option value="option-2">Complaint</option>
			<option>Service Request</option>
			<option>Public Participation (e.g. a Public Hearing submission)</option>
		</field>
		<field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1587997996315"></field>
		<field type="text" subtype="text" required="true" label="Contact Number" class="form-control text-input" name="text-1587998006411"></field>
		<field type="text" subtype="email" required="true" label="E-mail" class="form-control text-input" name="text-1793905532001"></field>
		<field type="text" subtype="text" label="Street Address" class="form-control text-input" name="text-1587998001518"></field>
		<field type="textarea" required="true" label="Submission Details" class="form-control text-area" name="textarea-1587998018163"></field>
		<field type="file" label="File Upload" description="For supporting documents or photos  if applicable." class="form-control file-input" name="file-1793905884030" multiple="true"></field>
		<field type="checkbox" label="Please indicate if you'd like a follow-up response." class="checkbox" name="checkbox-1793906068081"></field>
	</fields>
</form-template>

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