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Complaint Form

  1. Note:
    By signing this complaint form, you may be required to be a witness for the Town of Rockland in the event of a court case.
  2. Signature of
    Person Filing Complaint
  3. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  5. This field is not part of the form submission.