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State your complaint or commendation, including names, times, locations, witnesses, and any other information that would be helpful in investigating your complaint. If the employee(s) names are unknown, please describe in detail what each employee looked like.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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