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UCHRA Complaint Form - Online
We want to hear from you. If your experience with UCHRA has been less than satisfactory, let us know.
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Complainant's Name
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Complainant's Phone Number
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Complainant's Email
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Complainant's Address
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County where incident occurred:
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Cannon
Clay
Cumberland
DeKalb
Fentress
Jackson
Macon
Overton
Pickett
Putnam
Smith
Van Buren
Warren
White
Other
Other County Choice
Date of Complaint
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Complaint: Check All That Apply
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Service Provided
Service Not Provided
Employee Actions
Policy Decision
Other
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Other Complaint Option
Who/What is the Subject of Complaint
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Complaint Details
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Witness Name
Witness Address
Witness Phone Number
How would you like this resolved?
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