Department of Neighborhood Empowerment Grievance Form
Thank you for contacting the Department of Neighborhood Empowerment regarding your Grievance. Your concerns are important to us. Please fill out this form as completely as possible to help expedite our determination. Please be aware that the information you are submitting is subject to the California Public Records Act.

We will NOT be able to respond to your Grievance unless you provide a valid email or mailing address.
Please note that once you click Save at the upper right corner, your Grievance will be submitted.

All witness statements must be attached on this form.
The Department will not process more than three Grievance Forms filed by the same person in any calendar year and no more than five Grievance Forms filed by the same individual in any three year period. All Grievances submitted through this portal are considered processed.
John
Camera
Board Member
(818) 292-4695
18226 McCormick St., Tarzana, California 91356

Van Nuys
Specific Violation Alleged
Failure to indicate the nature of your alleged Grievance will result in the dismissal of your Grievance.
 
 
 
 
 
 
A Grievance must be filed within 30 days from the date of the event giving rise to the Grievance.  Any Grievance alleging a violation relating to Neighborhood Council funding must be filed within 90 calendar days of the date the expenditure is made.
to be determined.
Remedy
There are various remedies available. Please select from the list below the remedy OR remedies you are seeking.
Please be advised that the Department has sole discretion in determining whether your remedy conforms with your Grievance.

From the list below, which remedy or remedies are you seeking?
Yes  
Yes  
Yes  
Yes  
Yes  
Yes  
Yes  
Yes  
Yes  
There is no place for violence at Neighborhood Council mtgs.Mr. Friedmann attacked me and Mr. Jacob Lynn at the same date and I continue to fill anxiety and fear over the incident.
Witness Information
ALL of your Witness information and Witness Statement needs to be included at this time. The Department will ONLY accept and review Witness information included at time of submission.
You can find the Witness Statement form here.
Witness 1 Contact Information
Candido
Marez
(818) 259-3060
Witness 2 Contact Information
Gwen
Zaragoza
(818) 404-2918
Witness 3 Contact Information
 
Supporting Documents
Before submitting, please include ALL supporting documentation HERE. The Department will ONLY process and review materials included at time of submission. NOTE: The Department will only review up to 10 pages submitted. Any information submitted past 5 pages will not be taken into account.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Yes  
John Camera
To SUBMIT, please click "Save" on top right corner.
Created on Jan. 12, 2017 at  9:18 AM (PST). Last updated by Briceno, Lorenzo on Sept.  1, 2021 at  9:54 AM (PDT). Owned by Anonymous.
Anonymous
Lorenzo Briceno
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