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I hereby declare that I have read and understand definition of complaints and complaint management procedures by the Public Land Transportation Commission. All personal information and information submitted by me is true and I am responsible. If the Public Land Transportation Commission found that my complaint is false, the Public Land Transportation Commission reserves the right to lodge police reports against me.

All information provided will be kept confidential and only used by the Public Land Transportation Commission or on the instructions of the court order.

I have read, understood and agree to the terms and conditions specified. I am also willing to testify in Court on a complaint that I submitted.

I have read and agreed to the Terms & Condition.