Duty Complaint Form

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First Name

Last Name

Address

City/Town

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Description

Have you contacted this office about this matter before? If so, who did you speak to and when?

Have you contacted any other public agencies about this matter? If so, who did you speak to and when?

Please identify any attorney representing you in this matter.

Is there a court action pending in this matter? If so, please identify the court, case caption (i.e., Mickey Mouse v. United States), and the case number (i.e., Criminal Action No. 12-34567).

Briefly summarize the facts and provide any pertinent information about your complaint or question.

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Updated December 8, 2023