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* 1. The Town of Los Gatos values its workforce and strives to provide a safe work environment. To report unsafe or unhealthy work conditions or concerns, please complete this form, and provide as much information as possible. Reporting can be done anonymously. Your email and computer addresses will not be tracked.

All concerns will be reviewed and addressed through the Los Gatos Employee Health & Safety Committee.

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* 2. Please choose one option:

T