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Complainant Information
Respondent Information. My complaint is against the following
Other Information
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Description of complaint:

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Describe the events that led you to file this complaint.  If there is not sufficient space, please attach an additional page to complete your explanation.  DO NOT SEND ORIGINALS OR ADDITIONAL DOCUMENTATION.  The ACLU is not responsible for the maintenance or return or any documentation we receive.

Include pertinent facts, such as date, person, place, summary and what was said or done to you or to the hurt person.