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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Staff persons involved (if known and applicable)
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Disclaimer*
TIMELINE
The Administration Staff will contact you to acknowledge this complaint in the next 1 to 5 business days after receiving this completed form. The staff will then forward the complaint on to the Investigating Staff Employee who will respond within 30 days of receipt of this complaint. If this is not possible, you will be contacted and given a reason why this timeline is being adjusted.

NOTICE OF COLLECTION
The personal information you choose to provide on this form is collected under the authority of the Municipal Freedom of Information and Protection Act (MFIPPA). The information you provide will be used to investigate the complaint and may be used for contact purposes but is otherwise considered confidential. Questions about this collection can be directed to the Administration Office at 102 Kaybob Drive, Fox Creek, Alberta, T0H 1P0, 780.622.3896 or email bonnie@foxcreek.ca.
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