{"id":7,"date":"2026-04-13T21:37:10","date_gmt":"2026-04-13T21:37:10","guid":{"rendered":"https:\/\/drainmo.com\/?page_id=7"},"modified":"2026-04-13T21:37:10","modified_gmt":"2026-04-13T21:37:10","slug":"complaint-form","status":"publish","type":"page","link":"https:\/\/drainmo.com\/index.php\/complaint-form\/","title":{"rendered":"Complaint Form"},"content":{"rendered":"\n        <div class=\"drain-missouri-report-form-wrap\">\n            \n            \n            \n            <form method=\"post\" enctype=\"multipart\/form-data\" class=\"drain-report-form\">\n                <input type=\"hidden\" id=\"drain_report_nonce\" name=\"drain_report_nonce\" value=\"80fed381a4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/7\" \/>                <input type=\"hidden\" name=\"drain_report_form_submitted\" value=\"1\" \/>\n\n                <h2>Submit a Report<\/h2>\n                                <p>Use this form to report misconduct, mistreatment, retaliation, fraud, corruption, civil-rights violations, or abuse by any Missouri municipality, county, township, district, agency, court, law-enforcement body, or state office.<\/p>\n\n                <fieldset style=\"margin:18px 0;\">\n                    <legend><strong>Your Information<\/strong> (optional)<\/legend>\n\n                    <p>\n                        <label><input type=\"checkbox\" name=\"is_anonymous\" value=\"1\" > Submit anonymously<\/label>\n                    <\/p>\n\n                    <p>\n                        <label for=\"reporter_name\">Your Name<\/label><br>\n                        <input type=\"text\" id=\"reporter_name\" name=\"reporter_name\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"reporter_email\">Email<\/label><br>\n                        <input type=\"email\" id=\"reporter_email\" name=\"reporter_email\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"reporter_phone\">Phone<\/label><br>\n                        <input type=\"text\" id=\"reporter_phone\" name=\"reporter_phone\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"preferred_contact\">Preferred Contact Method<\/label><br>\n                        <select name=\"preferred_contact\" id=\"preferred_contact\">\n                            <option value=\"\">-- Select --<\/option>\n                            <option value=\"email\" >Email<\/option>\n                            <option value=\"phone\" >Phone<\/option>\n                            <option value=\"none\" >Do not contact me<\/option>\n                        <\/select>\n                    <\/p>\n\n                    <p>\n                        <label for=\"relationship_to_area\">Your relationship to the affected area (select all that apply)<\/label><br>\n                        <select name=\"relationship_to_area[]\" id=\"relationship_to_area\" multiple size=\"7\" style=\"width:100%;\">\n                                                            <option value=\"resident\" >Resident<\/option>\n                                                            <option value=\"former_resident\" >Former resident<\/option>\n                                                            <option value=\"business_owner\" >Business owner<\/option>\n                                                            <option value=\"employee\" >Current or former employee<\/option>\n                                                            <option value=\"visitor\" >Visitor<\/option>\n                                                            <option value=\"whistleblower\" >Whistleblower or insider<\/option>\n                                                            <option value=\"other\" >Other<\/option>\n                                                    <\/select>\n                    <\/p>\n\n                    <p>\n                        <label><input type=\"checkbox\" name=\"has_disability\" value=\"1\" > I have a disability that is relevant to this report<\/label>\n                    <\/p>\n\n                    <p>\n                        <label for=\"disability_description\">If yes, briefly describe (optional)<\/label><br>\n                        <textarea id=\"disability_description\" name=\"disability_description\" rows=\"3\" style=\"width:100%;\"><\/textarea>\n                    <\/p>\n                <\/fieldset>\n\n                <fieldset style=\"margin:18px 0;\">\n                    <legend><strong>Jurisdiction Intake<\/strong><\/legend>\n\n                    <p>\n                        <label for=\"report_scope\">What best describes the main governmental scope involved?<\/label><br>\n                        <select name=\"report_scope\" id=\"report_scope\" style=\"width:100%;\">\n                            <option value=\"\">-- Select --<\/option>\n                                                            <option value=\"statewide\" >State of Missouri<\/option>\n                                                            <option value=\"county\" >County government<\/option>\n                                                            <option value=\"township\" >Township<\/option>\n                                                            <option value=\"municipality\" >Municipality \/ city \/ town \/ village<\/option>\n                                                            <option value=\"law_enforcement\" >Law enforcement<\/option>\n                                                            <option value=\"court\" >Court \/ prosecutor \/ clerk<\/option>\n                                                            <option value=\"district\" >District \/ board \/ utility \/ school district<\/option>\n                                                            <option value=\"agency\" >Agency \/ department \/ office<\/option>\n                                                            <option value=\"multi\" >More than one jurisdiction<\/option>\n                                                            <option value=\"other\" >Other<\/option>\n                                                    <\/select>\n                    <\/p>\n\n                    <p>\n                        <label for=\"jurisdiction_types\">Which jurisdiction types apply? (select all that apply)<\/label><br>\n                        <select name=\"jurisdiction_types[]\" id=\"jurisdiction_types\" multiple size=\"9\" style=\"width:100%;\">\n                                                            <option value=\"state\" >State<\/option>\n                                                            <option value=\"county\" >County<\/option>\n                                                            <option value=\"township\" >Township<\/option>\n                                                            <option value=\"municipality\" >Municipality \/ city \/ town \/ village<\/option>\n                                                            <option value=\"law_enforcement\" >Law enforcement<\/option>\n                                                            <option value=\"court\" >Court \/ clerk \/ prosecutor<\/option>\n                                                            <option value=\"school_district\" >School district<\/option>\n                                                            <option value=\"special_district\" >Special district \/ board \/ utility<\/option>\n                                                            <option value=\"agency\" >Agency \/ department \/ office<\/option>\n                                                            <option value=\"other\" >Other<\/option>\n                                                    <\/select>\n                    <\/p>\n\n                    <p>\n                        <label for=\"state_name\">State<\/label><br>\n                        <input type=\"text\" id=\"state_name\" name=\"state_name\" style=\"width:100%;\" value=\"Missouri\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"county_name\">County<\/label><br>\n                        <input type=\"text\" id=\"county_name\" name=\"county_name\" style=\"width:100%;\" value=\"\" placeholder=\"Example: Carroll County\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"township_name\">Township<\/label><br>\n                        <input type=\"text\" id=\"township_name\" name=\"township_name\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"municipality_name\">Municipality \/ City \/ Town \/ Village<\/label><br>\n                        <input type=\"text\" id=\"municipality_name\" name=\"municipality_name\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"agency_level\">Agency Level<\/label><br>\n                        <select name=\"agency_level\" id=\"agency_level\" style=\"width:100%;\">\n                            <option value=\"\">-- Select --<\/option>\n                                                            <option value=\"state\" >State<\/option>\n                                                            <option value=\"county\" >County<\/option>\n                                                            <option value=\"township\" >Township<\/option>\n                                                            <option value=\"municipal\" >Municipal<\/option>\n                                                            <option value=\"district\" >District<\/option>\n                                                            <option value=\"federal\" >Federal<\/option>\n                                                            <option value=\"other\" >Other<\/option>\n                                                    <\/select>\n                    <\/p>\n\n                    <p>\n                        <label for=\"agency_name\">Agency \/ Department \/ Office Name<\/label><br>\n                        <input type=\"text\" id=\"agency_name\" name=\"agency_name\" style=\"width:100%;\" value=\"\" placeholder=\"Example: Public Works, Police Department, Circuit Clerk, Prosecutor, State Office\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"court_or_division\">Court \/ Division \/ Prosecutor \/ Clerk (if applicable)<\/label><br>\n                        <input type=\"text\" id=\"court_or_division\" name=\"court_or_division\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"district_name\">District \/ Board \/ Utility \/ School District (if applicable)<\/label><br>\n                        <input type=\"text\" id=\"district_name\" name=\"district_name\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"jurisdiction_summary\">Jurisdiction summary (required)<\/label><br>\n                        <textarea id=\"jurisdiction_summary\" name=\"jurisdiction_summary\" rows=\"4\" style=\"width:100%;\" placeholder=\"Clearly identify which government body or bodies apply, and how.\"><\/textarea>\n                    <\/p>\n\n                    <p>\n                        <label for=\"additional_jurisdictions\">Additional jurisdiction notes (optional)<\/label><br>\n                        <textarea id=\"additional_jurisdictions\" name=\"additional_jurisdictions\" rows=\"3\" style=\"width:100%;\" placeholder=\"List overlapping or secondary jurisdictions, if any.\"><\/textarea>\n                    <\/p>\n                <\/fieldset>\n\n                <fieldset style=\"margin:18px 0;\">\n                    <legend><strong>Incident Details<\/strong><\/legend>\n\n                    <p>\n                        <label for=\"primary_issue_type\">Primary Issue Type<\/label><br>\n                        <input type=\"text\" id=\"primary_issue_type\" name=\"primary_issue_type\" style=\"width:100%;\" value=\"\" placeholder=\"Example: retaliation, abuse of power, fraud, misconduct, Sunshine Law issue\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"secondary_issue_types\">Secondary Issue Types (optional, comma-separated)<\/label><br>\n                        <input type=\"text\" id=\"secondary_issue_types\" name=\"secondary_issue_types\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"incident_date\">Incident Date (optional)<\/label><br>\n                        <input type=\"date\" id=\"incident_date\" name=\"incident_date\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"incident_time\">Incident Time (optional)<\/label><br>\n                        <input type=\"text\" id=\"incident_time\" name=\"incident_time\" value=\"\" placeholder=\"Example: 2:30 PM\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"incident_address\">Incident Street Address (optional)<\/label><br>\n                        <input type=\"text\" id=\"incident_address\" name=\"incident_address\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"incident_city\">Incident City<\/label><br>\n                        <input type=\"text\" id=\"incident_city\" name=\"incident_city\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"incident_state\">Incident State<\/label><br>\n                        <input type=\"text\" id=\"incident_state\" name=\"incident_state\" style=\"width:100%;\" value=\"Missouri\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"incident_zip\">Incident ZIP (optional)<\/label><br>\n                        <input type=\"text\" id=\"incident_zip\" name=\"incident_zip\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"incident_location\">Location description (optional)<\/label><br>\n                        <input type=\"text\" id=\"incident_location\" name=\"incident_location\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"involved_departments\">Involved Departments \/ Offices (optional, comma-separated)<\/label><br>\n                        <input type=\"text\" id=\"involved_departments\" name=\"involved_departments\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"involved_individuals\">Involved Individuals (optional)<\/label><br>\n                        <input type=\"text\" id=\"involved_individuals\" name=\"involved_individuals\" style=\"width:100%;\" value=\"\">\n                    <\/p>\n\n                    <p>\n                        <label for=\"summary\">Summary (required)<\/label><br>\n                        <textarea id=\"summary\" name=\"summary\" rows=\"3\" style=\"width:100%;\"><\/textarea>\n                    <\/p>\n\n                    <p>\n                        <label for=\"detailed_narrative\">Detailed Narrative (required)<\/label><br>\n                        <textarea id=\"detailed_narrative\" name=\"detailed_narrative\" rows=\"8\" style=\"width:100%;\"><\/textarea>\n                    <\/p>\n\n                    <p>\n                        <label><input type=\"checkbox\" name=\"ongoing_retaliation\" value=\"1\" > Retaliation is ongoing<\/label>\n                    <\/p>\n\n                    <p>\n                        <label for=\"retaliation_description\">Retaliation details (optional)<\/label><br>\n                        <textarea id=\"retaliation_description\" name=\"retaliation_description\" rows=\"4\" style=\"width:100%;\"><\/textarea>\n                    <\/p>\n\n                    <p>\n                        <label><input type=\"checkbox\" name=\"previously_reported\" value=\"1\" > This has previously been reported<\/label>\n                    <\/p>\n\n                    <p>\n                        <label for=\"previously_reported_to\">Previously reported to (optional)<\/label><br>\n                        <textarea id=\"previously_reported_to\" name=\"previously_reported_to\" rows=\"3\" style=\"width:100%;\"><\/textarea>\n                    <\/p>\n\n                    <p>\n                        <label for=\"desired_outcome\">Desired outcome (optional)<\/label><br>\n                        <textarea id=\"desired_outcome\" name=\"desired_outcome\" rows=\"3\" style=\"width:100%;\"><\/textarea>\n                    <\/p>\n\n                    <p>\n                        <label><input type=\"checkbox\" name=\"consent_to_contact\" value=\"1\" > You may contact me for follow-up<\/label>\n                    <\/p>\n\n                    <p>\n                        <label><input type=\"checkbox\" name=\"consent_to_publication\" value=\"1\" > You may publish this report publicly, with redactions if needed<\/label>\n                    <\/p>\n\n                                            <p>\n                            <label for=\"evidence_files\">Evidence files (optional)<\/label><br>\n                            <input type=\"file\" id=\"evidence_files\" name=\"evidence_files[]\" multiple>\n                            <br><small>Max recommended: 5 files. Server upload limits may apply.<\/small>\n                        <\/p>\n                                    <\/fieldset>\n\n                <p><button type=\"submit\">Submit Report<\/button><\/p>\n            <\/form>\n        <\/div>\n        \n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drainmo.com\/index.php\/wp-json\/wp\/v2\/pages\/7","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drainmo.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drainmo.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drainmo.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drainmo.com\/index.php\/wp-json\/wp\/v2\/comments?post=7"}],"version-history":[{"count":1,"href":"https:\/\/drainmo.com\/index.php\/wp-json\/wp\/v2\/pages\/7\/revisions"}],"predecessor-version":[{"id":9,"href":"https:\/\/drainmo.com\/index.php\/wp-json\/wp\/v2\/pages\/7\/revisions\/9"}],"wp:attachment":[{"href":"https:\/\/drainmo.com\/index.php\/wp-json\/wp\/v2\/media?parent=7"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}