Weights & Measures Complaint Submission

Mississippi Department of Agriculture & Commerce

Complainant Information

Anonymous Submission#field(17298)
Name#field(17262) #field(17263)
Phone#field(17264)
Email#field(17265)
Date Occurred#field(17266)

Business Information

Business Name#field(17269)
Address#field(17270)
#field(17271)
#field(17272), #field(17273) #field(17274)

Details of Complaint

Product Weighed#field(17277)
Total Weight#field(17278)
Weight Deduction#field(17279)
Printed Weigh Ticket?#field(17280)
Remote Display?#field(17281)
Saw Actual Weight?#field(17282)
Asked for Reweigh?#field(17283)
Weight in Question Was#field(17284)
Customer Was#field(17285)

Details of Complaint

#field(17286)

Acknowledgment

#field(17290)
Submission ID: #submit_id