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COMPLIMENT ANDOR COMPLAINT FORM

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COMPLIMENT ANDOR COMPLAINT FORM Powered By Docstoc
					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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