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Name of respondent — City of Tukwila, Washington <br />Department or agency (if known) <br />Address/location (if known) <br />Date of Incident <br />Statement of Complaint — Include all facts upon which the complaint is based. Attach additional <br />sheets if needed. <br />I believe the above actions were taken because of my: <br />Race National Origin Religion <br />Color Sex Other _ <br />Name, position, and department of City employees you have contacted regarding the incident(s). <br />eV: <br />