Grievance Notification

Report any possible grievance issue.

If you are human, leave this field blank.

Fill out and submit this form to report any possible grievance issue. A member of the Grievance Committee will contact you for follow up.

Member Name *

Contact Phone Number *

Non City Email Address *

Current assignment: *

Shift *

Date of occurrence *

Brief Description of Occurance *

Articles violated *

List all articles or documents violated

Witnesses to Occurence *

Captcha *

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