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Complaint Form
Collection Of Complaint Information
JBS collects information to be used to investigate complaints. By providing your email address, you are consenting to receiving emails from JBS and/or their agents/contractors for investigating complaints. Information collected for this initiative may be stored on servers located with JBS. Questions about the collection of this personal information can be directed to the Manager
here
.
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Name
*
First
Last
Email/Communication
*
Email is only required for communication between JBS resolution team and you.
Phone
Please enter your phone number if you wish to be contacted by phone.
Best time to reach you if you wish to be contacted by phone.
Date
Time
Address (Complaint Address)
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Have Police Been Involved
*
Yes
No
Unkown
Police Incident Number
Please enter police incident number if known.
Date of incident
*
Please input the date, or closest date that you can remember.
Please describe the incident you would like to report
*
Has this incident impacted you directly.
*
Yes
No
Someone I Know
Please (Complaint report
Please describe how you/they were impacted.
*
File Upload
Click or drag files to this area to upload.
You can upload up to 10 files.
Please upload information if you wish.
Signature
*
Clear Signature
Submit
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