Fillable Oak059452 EA Complaint Form CH.pages (City of Oakland)

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Oak059452 EA Complaint Form CH.pages (City of Oakland)

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The Oak059452 EA Complaint Form CH.pages (City of Oakland) form is 1 page long and contains:

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  • 6 check-boxes
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Country of origin: US
File type: PDF

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聯絡資料
姓名: ____________________________________________________________________________________________
地址: ____________________________________________________________________________________________
電話號碼: ____________________________________電郵地址: __________________________________________
投訴詳情
事件日期: ________________________________________________________________________________________
部門/機構: _______________________________________________________________________________________
地點/地址: _______________________________________________________________________________________
語言服務問題: (請選擇所有適用的空格)
缺乏通知公󳍿關於中文/西班牙文翻譯服務的標誌牌 缺乏中文/西班牙文的表格/資料
缺乏能說雙語的人士 其他
你需要那一種語言的協助?_________________________________________________________________________
簡略描述: (如需額外的空間填寫, 請附加紙張) _____________________________________________________
__________________________________________________________________________________________________
協助填寫表格
是否有人協助你填寫此表格? 是" 定 否
姓名: ____________________________________________________________________________________________
機構: ____________________________________________________________________________________________
電話號碼: ____________________________________電郵地址: __________________________________________
DEPARTMENT USE ONLY
Date Received:
Action Taken:
Contact Person:
Phone:
Email:
請送交表格至: EQUAL ACCESS OFFICE Department of Human Resources Management
150 Frank H. Ogawa Plaza 2nd Floor, Oakland, CA 94612
你亦可傳真表格至 (510) 238-2325. 如有任何問題，請致電 (510) 238-3112.
語言服務投訴表格
此投訴表格適用於記錄使用市政府語言服務相關的投訴
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Oak059452 EA Complaint Form CH.pages (City of Oakland)

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Completed 20 July 2020

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