COMPLAINT SUBMISSION

We appreciate your concerns. In order to help us effectively investigate your concerns, please fill the form below with as much information as possible. The more details you provide, the more thoroughly we will be able to look into your complaint. Thank you for your concerns and assistance.

Name of the DBA*

Name of violator

Complainant Category*

Address Unknown

Country*

Postal Code*

Address*

City*

State*

County*

Date that you observed the violation*

Time that you observed the violation*

Complainant Classification*

Best time to observe future violations

Provide best day of the week or time of day for example, Friday evenings between 9pm and Midnight or Saturdays after 2am

Nature of complaint*

Provide any details available regarding Who, What and Where of the potential violation

Complainant Details

Remain Anonymous

Please enter your contact information below. Although not needed, your contact information is very important to us in conducting an investigation and we will do everything possible to keep that information confidential.

First Name

Middle Name

Last Name

Suffix

Phone

Email

Document upload

Upload supporting documents like audio, video files and other files related to the complaint

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