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UF Complaint Form / Page 3
VI. SUPPORTING MATERIALS / DOCUMENTS
(List any written materials or other documents you believe may help in investigating your complaint. Provide the name, date,
and explanation of the contents of the material/document listed. Add additional pages if necessary.)
Name of Item #1 ______
Date of Item #1
Explanation of Contents
A copy of this material is attached: Yes No
____________________________________________________________________________________________________________________________________________________________________________________
Name of Item #1 ______
Date of Item #1
Explanation of Contents
A copy of this material is attached: Yes No
____________________________________________________________________________________________________________________________________________________________________________________
Name of Item #1 ______
Date of Item #1
Explanation of Contents
A copy of this material is attached: Yes No
VII. COMPLAINT RESOLUTION
What would resolve your complaint
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
VIII. COMPLAINANTSIGNATURE
I attest to the completeness and accuracy of this complaint and any attached documents.
Signature of Complainant Date
HRS/2013
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source: hr.ufl.edu
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