Taxi Complaint Form

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Please correct the field(s) marked in red below:

1
Date/Time of Complaint:
2
Complaint: (Be as detailed as possible or mark on of the boxes below.)
Complaint: (Be as detailed as possible or mark on of the boxes below.)
3
Name of company in complaint:
4
Vehicle Description (make, model, color):
5

Utah License number:

6

PCMC sticker number:

7
Where the problem occurred:
(Street name and location)
8
Your name:
9
Phone:
10
Name of your business:
11
Comments:
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