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If your complaint is in regard to a citation you must contact the court where the citation was issued to resolve the matter. Date of Complaint Time of Complaint Office Number AM PM Address DHSMV Representative s Name and ID Number Complaint originated from Victim Law Enforcement Other If the complaint originated from Law Enforcement or Other please list the contact information to include agency officer s name address and telephone number. Has any formal complaint been made with any Law Enforcem ...

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