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State Vehicle Complaint
To file a complaint regarding a state vehicle, complete the following form. This information will be forwarded to the proper state agency for further investigation.
License Number:		Number of Occupants:
Description of the vehicle:		Driver's Gender:	Male Female Unknown
Was the driver wearing a seatbelt?	Yes No Unknown	Date of the incident:
Location of the incident:
Description of Incident (Include name and contact information if you would like followup)