Municipality of Nyeri

Submit Anonymously

Your personal details will not be recorded.

1Personal Information of Complainant

Full Name *

Residential Address

Phone Number

Email Address

Preferred Contact *

Sub-County

Ward (within Nyeri Town)

2Complaint Details

Date of Incident / Complaint *

Specific Location of the Issue *

Description of the Complaint * 0/3000

Photographs or Evidence (optional, max 10MB each)

Drag & drop files here

or browse

Photos, videos, or documents

3Previous Actions Taken

Have you reported this issue before?

No

Yes

4Desired Resolution & Comments

How would you like this issue to be resolved?

Additional Comments or Suggestions

5Declaration

I, the undersigned, confirm that the information provided in this complaint is accurate to the best of my knowledge and understand that it will be used to help address the issue reported.

Signature (Full Name) *

Date of Submission

I confirm the above information is accurate and complete to the best of my knowledge

For Official Use Only

Received By:

Date of Receipt:

Ref No.: