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I want to know the outcome of my complaint.
Please provide contact information so that we may reach you if we have questions. Also, it will allow us to report back to you the outcome of our investigation.
First Name	Last Name

Street Address

City	State	Zip

Email Address	Telephone e.g.(*) -***

I want to report my complaint to (choose one):

The location associated with this complaint is (required):

Please describe your complaint in as much detail as possible (required).
Being specific will make our investigation easier. Try to answer the questions: Who? What? Where? When? Why? And how? We will need this information to conduct our investigation.

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