FPC/FPF COVID-19 Hotline Issue Reporting Form
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Email *
Full Name (First and Last) *
State of Residence *
Phone number *
What is the nature of the issue? *
Where did the problem take place? *
What date did the issue (first) take place? *
Were police or government officials involved? If so, which agencies or departments? Please include name/title or ID number if you have that information. *
Are there any other details that you  think we should know or consider? *
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This form was created inside of FPC.