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Contact Consumer Affairs

Please be advised, the more information you can provide, will help us with the investigation. Thank you.
     
Name of Contractor
*
Address  
City, State, Zip     
Individuals Name  
Date of Offense
*
Time
*
Location of work being performed
*
Address
*
City, State, Zip
*   
Type of work being performed 
*
Additional Comments
 
Plate Numbers
 
Your Name
 
Your Phone
 
Your Email Address
 
Security Question: *

What is 65+4 ?

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