Military Veterans Assistance Program Form

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Complainant contact information

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Penalties can be enhanced for victimizing individuals over the age of 60.
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Penalties can be enhanced for victimizing active duty military, veterans, or their dependents.
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Complaint information

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Note:
  1. All information submitted with this complaint is subject to public inspection pursuant to Chapter 119, Florida Statutes.
  2. Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his official duty shall be guilty of a misdemeanor of the second degree, punishable as provided in s. 775.082, s. 775.083, or s. 837.06, Florida Statutes.
I am filing this complaint to notify your office of the activities of this business/individual and to seek any assistance you may be able to render.