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Community Complaint and Incident Report
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* Required
Business or Individual Name:
*
Your answer
Business or Individual Address:
*
Your answer
Business or Individual Phone Number:
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Your answer
Person(s) making the statement
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Your answer
Date & Description of complaint or Incident(s):
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Your answer
Was 911 Called?:
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Yes
No
Were the NCOs called? (Check one):
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Yes NCO John Vlaovich
Yes NCO Horacio Cuervo
No
Was 311 Called?
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Yes
No
If you called 311 please provide the reference number.
*
Your answer
Are pictures or videos available? If pictures or video are available please email them to
abettercollegepoint@gmail.com
or text them to 929 356 4344
*
Yes
No
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