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Name of Owner:_________________________________________ Owner's Address: Street:________________________________________________ City:____________________________ State:______ Zip:_____________ Phone Number:____________________ E-mail Address:_______________________________ Name of Breeder:___________________________________________ Date Owner Acquired Pig from Breeder: __________________________________ Sex of Pig:___________ Age of Pig:___________ Please Be Specific. Support complaint with copies of any written material, e-mails, photos, reports, etc. Include any signed statements from witnesses to your complaint. Complaint:____________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Printed Name______________________________ Signature ____________________________ Date____________ NPPR will supply the Breeder a copy of this complaint and related materials. The breeder will have an opportunity to respond in writing to the complaint. NPPR will verify and take all facts into consideration prior to making a decision. A copy of the decision will be provided to the Breeder and to the Owner. |