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Office Of Inspector General Complaint Form IG-12 - Illinois

Office Of Inspector General Complaint Form Form. This is a Illinois form and can be used in Miscellaneous Secretary Of State .
 Fillable pdf Last Modified 10/16/2012
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Jesse White, Secretary of State Secretary of State Office of the Inspector General Complaint Form Springfield Office 324 W. Monroe Springfield, IL 62704 217-785-2012 217-785-0761 (fax) Jim Burns, Inspector General www.cyberdriveillinois.com Oak Brook Office 2001 Midwest Road., Ste. 208 Oak Brook, IL 60523 630-424-2564 630-424-2893 (fax) Mt. Vernon Office 220 S. 12th St. Mt. Vernon, IL 62864 618-244-8358 618-244-8357 (fax) Date Complainant Name Address Telephone Number (home) Employee J Yes J No Location City, State, ZIP Telephone Number (work) Nature of Complaint Subject #1 of Complaint Name Address Telephone Number (home) Employee J Yes J No Location City, State, ZIP Telephone Number (work) Subject #2 of Complaint Name Address Telephone Number (home) Employee J Yes J No Location Printed by authority of the State of Illinois. October 2012 -- 1 -- SOS IG 12.2 American LegalNet, Inc. www.FormsWorkFlow.com City, State, ZIP Telephone Number (work)
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