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.
  1. At Sarpy 911 we are always striving to provide the very best service to the people we serve each day. If you have a question, comment or complaint that you would like to bring to the attention of the administration, please complete this form. Your questions and concerns will be sent directly to the Director and Assistant Director of Sarpy 911 and will be handled confidentially. Customer Service Survey:
  2. Have you had contact with Sarpy 911 in the last six months?
  3. Type of call made?
  4. Please rate the 911 call taker’s attitude and behavior.
  5. The 911 calltaker was knowledgeable, calming and confident?
  6. The 911 calltaker handled my concerns(s) or directed me to someone who could address my concern(s).
  7. Please rate the overall competence of agency employee.
  8. How would you rate the knowledge and understanding of the 911 call taker?
  9. Did the 911 call taker thank you for the information you provided?
  10. Please rate the overall customer service you received when you contacted Sarpy 911.
  11. Leave This Blank:

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