Common use of Questions or Complaints Clause in Contracts

Questions or Complaints. If you have a question or complaint about your privacy rights, please contact ▇▇. ▇▇▇▇ by phone at ▇▇▇-▇▇▇-▇▇▇▇ or by mail at 4971 East I-▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇; ▇▇▇▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇. If ▇▇. ▇▇▇▇ is unable to resolve your complaint to your satisfaction, you may send a written complaint to the Office of Civil Rights, U.S. Department of Health & Human Services, ▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇.▇., ▇▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇, ▇.▇. 20201. We will not retaliate against you for filing a complaint. Signature Date Printed Name Additional Signature (if needed) Date Printed Name

Questions or Complaints. If you have a question or complaint about your privacy rights, please contact ▇▇. ▇▇▇▇ by phone at ▇▇▇-▇▇▇-▇▇▇▇ by phone at 682-800- 4555 or by mail at 4971 East I-▇▇▇▇ ▇▇▇▇ ▇-▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇; ▇▇▇▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇. If ▇▇. ▇▇▇▇▇-▇▇▇▇▇▇▇ is unable to resolve your complaint to your satisfaction, you may send a written complaint to the Office of Civil Rights, U.S. Department of Health & Human Services, ▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇.▇., ▇▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇, ▇.▇. 20201. We will not retaliate against you for filing a complaint. Signature Date Printed Name Additional Signature (if needed) Date Printed Name