Charter Board Complaint Form

COMPLAINT FORM

 

CITY OF READING CHARTER BOARD

 

Please Submit completed forms to:Charter Board
c/o Elizabeth Magovern, Esquire
P. O. Box 5828
Wyomissing, PA 19610

INSTRUCTIONS – Please see other side of this form.

 


 

1.      Identify the person or governmental body which is the subject of your complaint:

 


Name:                                              Position or Title:                                

 

--OR--

Name of Governmental Body                                       Additional Contact Information if known and applicable:

Phone:  Work (   )                         Home (  )                                       

 

2.      Note the Section of the City of Reading Charter or Administrative Code that you feel has been violated.

 

3.      Explain in detail why you believe that the individual or governmental body named above may have violated the City of Reading Charter or Administrative Code. Include dates of alleged violation, if known. Attach additional sheets of paper if necessary.

 

4.      Attach or make reference to any documents, materials, minutes, resolutions or other evidence which support your allegations.

 

5.      Sworn to and subscribed before me this
_____ day of ______________,20____
(Notary Public)
My Commission expires:

I swear or affirm, under penalty of perjury, that the facts set forth in this complaint are true and correct to the best of my knowledge, information,and belief.

___________________________________
(Signature of Complainant)

Print your name:_______________________
Home Address:________________________
___________________________________
Work Phone: _________________________
Home Phone: _________________________

 

SEE OTHER SIDE 

01/2013 rvsd


INSTRUCTIONS

 

 

1.      Complete all sections of the complaint form.  Incomplete forms will not be processed.

 

2.      Give the specific name and title of the person or governmental body about whom you are filing the complaint.  If you are filing a complaint about more than one person, use a separate complaint form for each person.  Indicate phone number, if known.

 

3.      Provide a detailed account of the activity that is alleged to be a violation of the City of Reading Charter or Administrative Code.  The Charter Board’s jurisdiction extends solely to the violation of any Section of the City of Reading Charter or Administrative Code, in whole or in part, except that the Board’s jurisdiction shall not extend to cases arising under the Ethics Code or the Personnel Code.   The Investigative Officer will make a determination of jurisdiction within one week and notify you.

 

4.      Enclose records, documents, minutes, etc. that support your allegations.

 

5.      Sign the form where indicated. NOTE: By signing the complaint you are verifying that the facts set forth therein are true and correct upon the best of your knowledge, information and belief.

 

6.      THIS FORM MUST BE NOTARIZED AND SIGNED BEFORE A NOTARY PUBLIC. Sign the form and have a notary sign, date, affix seal, and note the date their Commission expires.