Complaint Form (Family Court Services Division) {FL05048}

SUPERIOR COURT OF CALIFORNIA, COUNTY OF YUBA FAMILY COURT SERVICES DIVISION 120 FIFTH STREET, MARYSVILLE, CA 95901 (530) 749-7685 COMPLAINT FORM Yuba County Superior Court is committed to providing quality service. If you believe that you did not receive satisfactory service from our organization, please complete this form and return it to the Court Executive Officer at 215 Fifth Street, Suite 200, Marysville, CA 95901. Please be specific in detailing your complaint and print legibly. If you need additional room, please continue on reverse side of this form or attach additional sheets. Your complaint will be reviewed by the Court Executive Officer. It will not be placed in your court case file nor will it affect the outcome of your court case. Name: Address: Daytime telephone: Name(s) and telephone number(s) of witness(es): Date of incident: Please describe your complaint: How would you suggest improving our customer services: Today's Date: Your Signature: _________________________________________________________________________________________________ Yuba County Superior Court 5/24/05; Revised 3/26/14 COMPLAINT FORM FL05048 American LegalNet, Inc. www.FormsWorkFlow.com _________________________________________________________________________________________________ Yuba County Superior Court 5/24/05; Revised 3/26/14 COMPLAINT FORM FL05048 American LegalNet, Inc. www.FormsWorkFlow.com