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2. To report public corruption, please complete the following boxes.
   All information is kept strictly confidential.
4. Suspect Name (including aliases)
5. Suspect Address
7. Description of Public Corruption
9. Reporting party contact information is optional. All information, including your contact information, is kept strictly confidential.
11. First Name
12. Last Name
14. Address1
16. Address2
18. City
19. State
20. Zip
22. Home, Work, or Cell Number (Optional)
23. Email (Optional)
25. May we contact you?

    1. Yes
    2. No
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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