Free YUBA COUNTY SUPERIOR COURT - California

SUPERIOR COURT OF CALIFORNIA, COUNTY OF YUBA 215 FIFTH STREET, SUITE 200 MARYSVILLE, CA 95901 (530) 749-7600

COMPLAINT FORM
Yuba County Superior Court is committed to providing quality service. If you believe that you did not receive satisfactory service from our organization, please complete this form and return it to the Court Executive Officer at the address shown above.

Please be specific in detailing your complaint and print legibly. If you need additional room, please continue on reverse side of this form or attach additional sheets. Your complaint will be reviewed by the Court Executive Officer or his designee. It will not be placed in your court case file nor will it affect the outcome of your court case. Name: Address: Daytime telephone: Name(s) and telephone number(s) of witness(es): Please describe your complaint: Date of incident:

How would you suggest improving our customer services:

Today's Date:

Your Signature:

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Yuba County Superior Court 5/24/05

COMPLAINT FORM

G05051