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Bob's Blacklist - Submit Report
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Reviewer’s Name
(optional)
Business / Contractor Name
*
Business Type / Industry
Burn Scale (1–5)
*
Select…
5 — Total disaster
4
3
2
1 — Minor screw-up
Description of Incident
*
Contractor’s Business Description
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Contractor Email
(optional)
Contractor Phone
(optional)
State
*
City
*
County
(optional)
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