Complaint Form

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FAIRFIELD COUNTY
PLANNING, BUILDING, AND ZONING OFFICE
Post Office Drawer 60
Winnsboro, SC 29180
Phone: (803)-712-6596 Fax: (803)-635-0114
COMPLAINT FORM
*To remain anonymous, name, address, and telephone number should not be given*
Date Complaint taken: ________________
Complaint taken by:_________________
Complaint’s Name and Address:
______________________________________________________________________________
______________________________________________________________________________
Complaint’s Telephone Number: _________________
Nature of Complaint:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Address of Complaint:
______________________________________________________________________________
______________________________________________________________________________
*INTERNAL USE ONLY*
Findings:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Resolution:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Investigated by: ______________________
Date: _________________
Resolved by: _________________________
Date: _________________

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