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Floyd County Board of Health, Health/Nuisance Complaint Form Floyd County Courthouse 101 South Main Charles City, IA 50616 Complaint No. Property Where Violations Exist: (Owner) Last Name First Name
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Begin by reading the form instructions carefully to understand the purpose and requirements of the complaint form.
02
Provide your personal information such as name, address, phone number, and email address in the designated fields.
03
Specify the date and time of the incident or issue that you are filing a complaint about.
04
Clearly state the nature of your complaint in a concise and detailed manner. Include any relevant facts, incidents, or evidence that support your complaint.
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If applicable, provide the names and contact information of any witnesses or individuals who may have relevant information related to your complaint.
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Complaint form 1 is a form used to report issues or grievances.
Any individual or organization experiencing a problem that falls under the jurisdiction of the complaint form.
To fill out complaint form 1, you must provide detailed information about the issue, including relevant dates, names, and any supporting documentation.
The purpose of complaint form 1 is to bring attention to and address issues that require intervention or resolution.
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