Employee Complaint Form

The below is for Non-Emergency Use Only. To report an Emergency please call 911.

Staff will respond to Communications during normal business hours, Monday through Friday, 8:30 am to 4:30 pm, except holidays. Your patience is appreciated.

Human Resources
Town Hall
475 Valley Road
Wayne, NJ 07470

973-694-1800 X 3357

Or, submit online form below. Please include a detailed descripting of your complaint, if you wish to remain anonyms you may do so by filling only the fields you wish to.

First Name

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Email Address

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Last Name

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Date

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Complaint Information:

Date and Time of Incident

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Location of Incident

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Please describe the incident in Detail

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Is this the first time you have raised this concern?

YesNo Invalid Input

Is this COVID_19 Related?

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Do you have any suggestions for resolving the complaint? If so, please explain.

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We will be in contact with you to further address this incident.

Employee Complaint Form

Town Hall

Wayne DPW Complex

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