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Online Complaint Form
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Date
*
Date
Email
*
Phone
*
First Name
*
Last Name
*
Address
City
State
Zip Code
Date of Incident
*
Date of Incident
Business/Residence Name (if known)
Property/Location
*
Best Time(s), Day(s) to Observe Violation
Please describe what happened. Be detailed and as brief as possible.
*
Desired Outcome
*
Are you willing to give a sworn statement if necessary?
*
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No
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