Vendor Concern Form

Vendor Concern Form
HSFM Vendors who have concerns about market operations, vendor policies, or other vendors’ compliance with market rules should submit this concern form.

Forms must be submitted within one week of the market during which the alleged violation occurred.

**HSFM will not reveal the inquiring vendor’s name to anyone.
Name*

First NameLast Name
Vendor Business Name*
Contact Information
phone number, email or mailing address
Date of Incident*

MonthDayYear
Date
Hour MinutesAM/PM Option
Please use the Rules & Regulations to reference the policy with which you have a concern.

If this is a complaint regarding a vendor, specify vendor’s name.

Please state the specifics of the violation of the rule and provide any evidence that supports your concern.
Your Concern*
Upload any photos or files supporting your concern here.

Cancelof
Please state the specifics of the violation of the rule. Provide any evidence that supports your concern.
By signing you declare that all information you have given here is truthful and accurate.
Signature
Should be Empty: