ABRA Formal Complaint Form
This formal complaint form can be submitted anonymously to ABRA about issues concerning establishments that serve alcohol.
Complainant Information
Full Name
Full Address (Street, City, State, Zip Code)
Phone Number
Email
Would You like to be contacted *
Establishment Information
Establishment Name *
Establishment Address (Street, City, State, Zip Code) *
Date of Incident *
MM
/
DD
/
YYYY
Time of Incident *
Time
:
Type of Complaint *
Required
Submit
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