Los Angeles County Postgovernment Complaint Form The Los Angeles

Los Angeles County Postgovernment Complaint Form The Los Angeles County Board of Supervisors' Executive Office investigates and brings enforcement actions against individuals and entities that violate the Postgovernment Ordinance provisions. To report a violation, please complete and submit the complaint form below: Fields marked with an * are required * 1. Name and title of person involved: 2. Person's place of employment: * 3. County Department, Agency or Company involved: 4. Ordinance provision violated, if known: Complaint Form (Continued) Page 2 * 5. Complaint details: Include date and time of incident(s): Name and contact information of witnesses: 6. Name of Contact: 8. Name of Contact: 10. Name of Contact: 7. Phone #: 9. Phone #: 11. Phone #: 12. Your Name: Print Form 13. Your Address: 14. Phone Number: 15. E-mail Address: Submit by Email Reset Form Additional information can be obtained by calling (213) 974-1432. You may submit your complaint form electronically by clicking on the "Submit by Email" button above, or mailing your complaint to: Los Angeles County Board of Supervisors-Executive Office, Attn: Auxiliary Services Division, 500 West Temple Street, Room 383, Los Angeles, CA 90012

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