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Anonymous. Mail your completed complaint form to: UEO, 3321 Power Inn Road, Suite 140, Sacramento, CA 95826. CONTACT INFORMATION Name Address City/State/ZIP Phone GENERAL BUSINESS INFORMATION Business Name Owner s Name Address City/State/ZIP Phone Type of Service Provided Years in Business: DETAILED BUSINESS INFORMATION Issue of noncompliance and/or complaint Where is business operating? Who hired the workers? Who directed services performed for the business? Period of time worked Names o.

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