detailed illustration of a blackboard with Request for Proposal term explanation, eps10 vector, gradient mesh included
Date of issue
Time the issue happened
City or location where the issue happened
Name of business involved
Type of complaint —Please choose an option—Animal biteFood/IllnessPestsPoolsUnsanitary conditionsWater qualityOther
Description of complaint
Contact info – if you would like to be contacted regarding this complaint, please provide:
Name
Phone number
