LACKAWANNA COUNTY DISTRICT ATTORNEY'S OFFICE
COMPLAINT FORM

Please fill out as much information as possible.
This is a general complaint form and should be used for the following:
•Crime Tips
•Drug & Drug Related Tips
•Reports of Elder Abuse
•Any other complaints, tips, etc. which don't have any other home.

 
 Crime/Tip Information
 Who Are You and How Can We Contact You:

 (Not required; but may be needed and would be helpful.)

First Name:

Last Name:

E-Mail:
 All Parties Involved:
 (Please be as specific as possible.)
 Incident / Tip:
 (Please provide as much information as possible.)