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Write The Superintendent

Send us your Questions and Comments

The "Write The Superintendent" Form is to be used for general questions or comments about regulatory related issues only. Do not use this form to file a complaint. Do not use this form for licensing inquiries. Consumer and licensing inquiries will NOT be responded to via this method.

Please provide the following information:

Organization (optional) :
        Are you a Licensee of the Department? (optional)
   Yes   No
First Name:
Last Name:
You are a(n):
Phone (xxx-xxx-xxxx):
Mailing Address 1:
Address 2 (optional):
City:
State:
Zip/Postal Code:
Email Address:


Your Questions or Comments:
(Type or copy and paste to the text-box below):


What is the sum of 3 + 4? (spam protection - please answer):

 
  

Select 'Submit Form' to transmit. To clear all fields, select 'Reset Form'.
         

Thank you for your input!

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