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  1. Complainant Information
    Please provide your contact information. Without your contact information, we cannot follow up with you regarding progress, or clarification questions.
  2. Complaint Location Information
    Please provide detailed information of the incident.
  3. Nature of Complaint*
  4. Please describe, in detail, the nature of the complaint. Please provide dates, times, and locations of the incident. Please be as detailed as possible.
  5. If you have pictures or other documentation of the incident, please upload it here.
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  7. This field is not part of the form submission.