State Seal
Office of Small Business Advocate
AGENCY AND DEPARTMENT COMMENT FORM
* = Required

Pursuant to Tenn. Code Ann. Section 8-4-704(2) the role of the Office of Small Business Advocate includes “receive comments from small business owners regarding actions by agency or department employees conducting compliance or enforcement activities.” This form should be completed in its entirety if you would like to comment about the actions of an agency or department employee.

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Contact Information
First Name * Last Name *
Company Name
Address
City State Zip
Phone * Email

Comment
Please provide as much detail as possible in the description of your comment. Please attach additional pages and any documentation as necessary.
Agency/Department Name:
Important: The Office of Small Business Advocate will not give your name unless you give permission. Can we use your name when talking with the agency about your comment? Yes     No
 
  When you click Submit, all information entered on this form will be emailed to the Office of Small Business Advocate.

If you prefer, you may access an Adobe Acrobat (PDF) version of the form by clicking here. If you choose this method, you must complete and print the form and send it via postal mail to:

COMPTROLLER OF THE TREASURY
OFFICE OF SMALL BUSINESS ADVOCATE
James K. Polk State Office Building, 505 Deaderick Street, Suite 1700, Nashville, Tennessee 37243-1402
Phone: 1-866-831-3750 or 615-401-7806 – Fax: 615-741-1551
E-mail: smallbusiness.advocate@cot.tn.gov


CT-0451
Revised 6/24/11