Report Acknowledgment Form
Military Workforce Summary Report, Third Quarter

All fields except Phone Extension and Comments are required.

Name:

Title:

Email Address:

Phone Number:
- - Ext.

Agency/Institution Name:

Agency Number:

I acknowledge that I have received the Military Workforce Summary Report, Third Quarter

Quarterly Military Complaint Report

Number of Complaints Received

Number of Complaints Resolved

Required reporting added by HB 1275, 80th Legislature, R.S.

Comments (limit 1500 characters):

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