Complaint Form

THE REFUGE COMMUNITY ASSOCIATION

Policy and Procedure Handbook

Exhibit "2"

THE REFUGE COMMUNITY ASSOCIATION

C/O Amy Telnes Management Services

PO Box 2518

Lake Havasu City, AZ 86405

(928) 505-1120

COMPLAINT/VIOLATION REPORT

Name & Address of Person Observing and Reporting Violation:

Name

First

Last

Your Email address:*

Your Phone number:*

Your Street No. & Address:*

Address of the Property Allegedly in Violation of the Association's Governing Documents:

Street No. & Address:*

Date(s) Violation Occurred:

Date(s):*

Nature of Violation(s):*

Per Arizona laws (A.R.S. 33-1242 and A.R.S. 33-1803) any complaint lodged with the Association will NOT remain anonymous. The person complaining of the alleged violation must state their first and last name. This information will be sent to the party who is accused of the violation if requested.

Typing Name below acts as Signature of Observer:*

Date:

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