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Compliment & Complaint Form

2. Name

4. Address

6. Phone

8. Email

10. Location of Problem

12. Date
    Date

    Date

14. Description of Problem

16. The complaint should be submitted by the grievant and/or his/her designee as soon as possible, but not later than 30 calendar days after the alleged violation to:<br><br>Sandi Countryman<br> HR Director<br> PO Box 1310<br> Artesia, NM 88211-1310

    The complaint should be submitted by the grievant and/or his/her designee as soon as possible, but not later than 30 calendar days after the alleged violation to:
    
    Sandi Countryman
    HR Director
    PO Box 1310
    Artesia, NM 88211-1310

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