By submitting this complaint form to DATCP, I provide my written consent for the business to send DATCP responses and records containing my personally identifiable information (such as my name, phone number, residential address, and email address) and all account details connected with this complaint. The information provided will be used to assist the agency in resolving my complaint, which may include referring my complaint to another state agency if appropriate.
Wisconsin Stat. § 15.04(1)(m) notice: This form is authorized by Wis. Stat. § 93.07(2). Completing this form is voluntary. This form is subject to Wisconsin’s Public Records Law, Wis. Stat. §§ 19.31 to 19.39. Therefore, personally identifiable information provided in this form might be released in response to a public records request. In responding to a public records request, the Department will maintain the confidentiality of personally identifiable information provided in this form to the extent permitted by law. /div>
This complaint and the information provided will be used in efforts to resolve the problem and will typically be shared with the party complained against. It may also be used to enforce applicable state laws. Under Wisconsin's Open Records Law, Wis. Stats. § 19.31, this complaint will be available for public review upon request. The department will maintain the confidentiality of your personally identifiable information to the fullest extent permitted by law. |
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