VICCC

Patron Disputes & Complaints

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TYPE OF REPORT – PLEASE CHECK ONE

CONTACT INFORMATION

Name
Address

SUMMARY OF INCIDENT

Where did the incident occur?

CASINO EMPLOYEES INVOLVED:

WITNESS(ES) NAME(S) AND ADDRESS(ES)

Describe in as much detail as possible the nature of incident, whether you reported this to the VI Casino Control Commission, the gaming facility’s security, or another authority, and if so, how they responded to the incident.

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