City of El Mirage Online Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

El Mirage Civil Rights Complaint Form

  1. Form Submittal

    This is an electronic form which will be submitted directly to the El Mirage City Clerk. You may also print this form and mail or email to Office of the City Clerk, City of El Mirage, 10000 N. El Mirage Road, El Mirage, AZ 85335. Phone: (623) 876-2943 TDD: (623) 933-3258 Email: santes@elmirageaz.gov

  2. Complainant Information

  3. Designee Information (if applicable)

  4. Details of Complaint

  5. (Must be filed within 180 days of incident)

  6. Leave This Blank:

  7. This field is not part of the form submission.