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Get CA PDE 15-281 2015-2024

Acramento, CA 95834-1924 P 800.952.5210 www.dca.ca.gov GENERAL COMPLAINT FORM Please fill out a separate form for each complaint COMPLAINANT INFORMATION Person filing complaint (Complainant) Address: Number and street City State Phone where you can be reached (8am 5pm) E-mail address Zip Code BUSINESS INFORMATION Business or professional complaint is about; license/registration number Who did you deal with? Date of repair, service, or purchase What type of product or service.

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