This is the easiest way to electronically fill out the forms and prevent losing any information that you've entered. For help filling out the form, you may call any of the telephone numbers listed at the bottom of the complaint form.If you have a question about your bill, please use our bill question form. Our customer service team will follow up with you via email within two business days. Ejemplo, de 55 mph a aproximadamente 35 mph. Name and signature of the person who filled the form. It may be filed only in a Pennsylvania magisterial district court and not in the Philadelphia Municipal Court. Print Name of Person Completing Form. Signature. Date. Address.