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2. PEDDLER COMPLAINT

   SUSPICIOUS ACTIVITY SHOULD BE REPORTED TO WESTCOM DISPATCH.  Please call 515-222-3321 to report an issue that is in progress. 

4. Date & Time*
   Date & Time

   Date & Time

   Please let us know when the issue occurred. 

6. Location*

   Please provide an address or area where the issue occurred. 

7. Company Information

   Please provide information such as the company name, type of business and name or description of the individual, if known. 

9. Description of Issue/Complaint*

   Please describe your complaint. 

11. Type of Issue*

    Please select the type of issue you are reporting.

    1. No License or License Not Displayed
    2. Operating Outside Hours (Mon-Sat 9 am - 8 pm and Sunday 1pm - 5pm)
    3. Fraudulent Representation/Harassment
    4. Prohibited Soliciting (Disregard of Posted No Soliciting Sign)
    5. Fraudulent Statements
    6. Violation of Law
    7. Endangered Public Welfare, Health or Safety
13. Name

    Please provide your contact information. 

14. Email or Phone Number
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field