Complaint Form – Solicitor/Peddler
City of Helena, Accounting Division
316 N Park Avenue, Room 320, Helena, MT 59623
Fax: (406) 447-8434
Email: cityfinance@helenamt.gov
For Record:
Your Name: _________________________________________
Your Address: ________________________________________
Your Phone Number : ____________ Your E-mail: ________________
INCIDENT DESCRIPTION
Name of Solicitor:_________________________________
What happened?
Time: ____ Date: ____ Location: _________________________
Describe What Happened:
________________________________________________
By______________________ ___________________
Signature Date
(Please print, sign, and email or mail)