Laserfiche WebLink
i T 1 <br /> V <br /> This complaint has been prepared by <br /> if different from above <br /> whose current mailing address is <br /> I <br /> and whose telephone number is <br /> I have received a copy of the Town's Grievance Procedures regarding handicap discrimination: <br /> El Yes ❑ No <br /> Date ,Signature of complainant or representative <br /> For Town use only F <br /> Date complaint received <br /> Received by <br /> S' <br /> Date transmitted to involved agent/agency <br /> E <br /> L!. <br /> i; <br /> I <br /> Date response received <br /> Disposition attach Executive Secretary's findings and proposed actions) <br /> Board of Selectmen meeting date <br /> Disposition (attach written rndin s and corrective actions required)p f � f <br /> s <br />