Complaint Form

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COMPLAINT FORM
OFFICE OF THE REGISTRAR/VETERANS AFFAIRS
POST OFFICE BOX 8104 300 COLLEGE STREET, NORTHEAST
___Student ___Faculty___Staff____Alumni___Parent___Other
ORANGEBURG, SC 29117-0001 (803) 536-7185 FAX: (803) 536-8602
Please Print Clearly:
Campus Wide ID
Name (Last, First, M.I.)
Home Telephone
Email Address
Mailing Address (Street, City, State, Zip)
Cell Telephone
Signature (Required)
Date
Services Requested? Please mark all boxes that apply:
Academic Records/Grades
Graduation
Registration
Transcripts
Re-ordering Diploma
Enrollment Verifications
Veterans Affairs
Veterans Certification
Academic Review Board
Enrollment Verification
Other (please explain)
Please describe the nature of your complaint:
Please turn to the back for additional comments
For Office Use Only - Action Taken:
Reviewed by:
Title
Date:

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