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*Name:
UTEID:
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*E-mail Address:
*Description of complaint:
*Are you running for an elected position?	Yes   No
If yes, have you taken steps to resolve the issue with the other candidate(s) involved?	Yes   No
Please describe the steps that have been taken to resolve the dispute.

Updated 04/26/2013
Comments to Office of the Dean of Students | 100 West Dean Keeton A5800 | Austin, Texas 78712-1100
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