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COMPLIMENT ANDOR COMPLAINT FORM

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posted:
11/15/2011
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Department of Public Works and Planning

Resources Division

2220 Tulare Street, 6th Floor

Fresno, California 93721

Ph# (559) 262-4259 Fax# (559) 262-4286

COMPLIMENT AND/OR COMPLAINT FORM

Use this form to report a specific issue (compliment and/or complaint) regarding the solid waste (trash,

recyclable and/or green waste) services provided by the disposal company that services your Fresno County

home or business. Before you submit the form to County staff for assistance in resolving your issue, please

attempt to resolve it directly with the disposal company first. Thank you.

Name of Hauler's

Date reported to Hauler Representative

Date of Complaint



Action taken by Hauler's

Representative



Name of

Individual listed

Name on account



Address



City State Zip Code



Day Phone # Cell #



Categories Billing Damage to Property Field Customer Service

Office Customer Service Other AB939 Program

Service Address

Residence Business

(location of service)

Hauler's Name Date of Incident

Hauler's Phone #





Compliment/Complaint

(please be specific)







"Do Not Complete. For County Office Use Only."

Received by Date









Compliment and/or

Resolution of Complaint



Date





G:\4360CDS\BGP0726\WEB_WorkArea\Compliment-Complaint_form.xls



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