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GROUND TRANSPORTATION ENFORCEMENT

COMPLAINT FORM

PERSON MAKING COMPLAINT







FILING COMPLIANT AGAINST (provide as much information as possible)





taxi, limousine, etc.


taxi#, license plate#, etc.


make, model, year, color, etc.

WITNESS(ES):










DETAILS OF COMPLAINT



(mm/dd/yyyy)


(hh:mm am or pm)


The preceding information is true and correct to the best of my knowledge and belief.



(mm/dd/yyyy)


Type your full name to verify signature.

Or print PDF version of form , fill out and mail to:

Transportation Division
Vehicles for Hire/Ground Transportation Section
P.O. Box 1088
Austin, TX 78767-1088