Formulario de queja al jurado de acusación civil

Llene y envíe el siguiente formulario al jurado de acusación civil del condado de Santa Clara.

Si su queja incluye adjuntos para que los revise el jurado de acusación civil, envíelos por correo electrónico a CGJ@scscourt.org.
Indique en este envío que los adjuntos se enviarán por correo electrónico si planea hacerlo.

IMPORTANTE: El jurado de acusación no tiene autoridad para investigar quejas que involucren a agencias gubernamentales estatales o federales, entidades no gubernamentales o asuntos fuera del condado de Santa Clara. El jurado de acusación no investiga todas las quejas recibidas.

Complaint From:

Complaints may be submitted anonymously; however, anonymous complaints may not contain the information needed to investigate the complaint. Including contact information will assist the Civil Grand Jury in seeking clarification if/as needed.

Title

First

Middle

Last

Address

City/Town

ZIP/Postal Code

Phone

This complaint is against:

Name

Title

Agency

Address

City/Town

ZIP/Postal Code

Phone

Complaint:

Be specific; include names and dates. Describe the problem in your own words. All information is confidential.

Please describe any previous attempts to resolve this complaint, including the agencies you contacted and the action taken by the agencies.

How would you like to see this matter resolved?

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

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