Request for Investigation

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This form is NOT to be used for general complaints about County-offered services, or against specific departments.

It IS intended to be utilized when a citizen or governmental official is requesting that a County Department investigate a possible violation of a provision of Mariposa County Code, or other health and safety related problem.

This form is confidential in accordance with County policy. However, the form must be released if required by a court of law.

COMPLAINANT'S INFORMATION:
DESCRIPTION OF VIOLATION / PROBLEM
 
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