CSFP Civil Rights Complaint Form

Fill out the form below and hit the “Submit” button to send a civil rights complaint pertaining to CSFP. Once your form is submitted, a Feeding Louisiana employee will be in touch with you within 1-3 business days. Thank you for your patience.

Date

MM

DD

YYYY

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parish

Email

Did this incident occur at a distribution site?

YES

NO

Distribution Date

MM

DD

YYYY

Site Where Incident Occurred (Type "General" if incident did not occur at a distribution site).

Name of CSFP Employee(s) involved (if unknown, please indicate)

Described what occurred, or the general complaint

CSFP Civil Rights Complaint Form

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