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What is your name?
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Employee's name if you know it
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What is the address of the store where the incident occurred?
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When did the incident happen?
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Please try to be as close as possible. If you do not know the employee's name, this can help us determine who you interacted with, or help up review the security tape from the time of your interaction.
Please tell us what happened
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495 Agnes Dr
Springdale AR, 72762
479-347-2040
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