File a Racing Complaint

First Name

Last Name

Date of Birth

Sex

Email Address

Confirm Email Address

Telephone Number

Name of OTB or Racetrack

Date and Time of Incident

Name of Employee You Dealt With

I understand that this report is being made to peace officers of the State of Colorado and declare that all information provided with this submission is true to the best of my knowledge and belief. I further understand that if I have knowingly made false statements or intentional misrepresentations that I will be prosecuted according to law

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