Below is a sample of the emails you can expect to receive when signed up to azoca.
This is a COPY of the form submitted on Arizona Ombudsman Citizens'' Aide website. No need to reply.
- - - - -
Complainant information
Name: Jon
Email: @
Phone: Jon
Address:
249 Langham Road
London, Jon 90275
Agency: Jon
Complaint:
Jon
What resolution are you looking for?
Jon
What steps have you taken to resolve the problem with the agency?
Jon
Do you have a case number, license number, or other identifier with this agency?
Jon
Data Name | Data Type | Options |
---|---|---|
Name (Required): | ![]() | |
![]() | ||
Home address | ![]() | |
City | ![]() | |
State | ![]() | |
Zipcode | ![]() |