GCEMS Commendation & Complaint Form

2. 

3. Grand County EMS appreciates and values feedback from our residents and visitors. To submit a commendation or complaint, please complete this form. This form may be used to make a formal commendation or complaint about the service provided by Grand County EMS. If you would like to speak with the EMS Chief, Deputy Chief, or Captain about your commendation or complaint, please call 970-887-2732. 

   
   

5. What are you contacting us about?*

   1. Commendation
   2. Complaint
7. First Name
8. Last Name
10. Address1
12. Address2
14. City
15. State
16. Zip
18. Date of Event:*
19. Time of Event:*
21. Location of Event:*
23. Description of Event:*
25. Would you like someone to contact you?*

    1. Yes
    2. No

    If you would like contact regarding this submission, please provide your email address or phone number:

27. Email or Phone Number:
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

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