If you would like to print a copy of this form to either mail or fax it to us,
click here.
Or, call Customer Service at
330-47-SARTA (330-477-2782) to give your information by phone.
Your concerns are important to us. Please complete this form, allowing SARTA to address any issues you may have.
All information will remain confidential.
SARTA operates its programs and services without
regard to race, color, national origin, age, gender or
disability. If you feel you have been discriminated against
based on one of the above characteristics, you have the right to
file a complaint. For more information on your rights, or to
file this type of complaint,
click here.
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This form is used compliment a specific employee or compliment
our services.
All fields must be filled out. |
| Your Name: |
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(First name and last
name please.) |
| Address: |
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| City: |
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| State: |
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Zip:
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Phone:
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(Used to verify details of your submission.)
None
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| E-mail address: |
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(Used to respond to your submission.) |
| Comments: |
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Maximum Number of text characters for this text box is 500.
Do not insert HTML or other code--it will be rejected.
You have
500 characters remaining
for your comments.
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Description of
bus operator: |
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Male
Female
Unsure
Additional description:
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| Route: |
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| Bus Number : |
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Big
bus #
Small
bus #
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Exact Date of Incident: |
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(mm/dd/yyyy) |
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Time of Incident: |
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Hour
Minute
AM/PM |
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Exact Location: |
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Street name:
Unsure
Closest landmark/Intersection:
Unsure
Bus stop location:
Unsure |
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Direction of Travel: |
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North
South
East
West
Unknown
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Bus Heading: |
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Inbound
Outbound
Not
sure |
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