Form DVSM-20 "Customer Service Incident Report" - Minnesota

What Is Form DVSM-20?

This is a legal form that was released by the Minnesota Department of Public Safety - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Minnesota Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DVSM-20 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Public Safety.

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Download Form DVSM-20 "Customer Service Incident Report" - Minnesota

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Print Form
Customer Service Incident Report
Fax completed form to 651-797-1252 or email to: DVS.Customer-incident@state.mn.us
Date
Submited by:
Office/Work Area
Phone or email:
Type of Incident - Please check one and explain below
Misinformation
Information on Form Misleading
Inappropriate Referral
Other
Write a brief description of incident below.
Date of Incident :
Customer obtained information by (please check one)
by Phone
Phone number that customer called from:
In Person
Where:
Customer Contact Information (Optional)
If the customer would like a DVS representative to contact them please provide information below.
Customer Name
Contact Information
Best time to contact customer between 8 -4:30 M-F
Minnesota Department of Public Safety. * Driver and Vehicle Services * 445 Minnesota Street * St. Paul, MN
DVSM-20
Print Form
Customer Service Incident Report
Fax completed form to 651-797-1252 or email to: DVS.Customer-incident@state.mn.us
Date
Submited by:
Office/Work Area
Phone or email:
Type of Incident - Please check one and explain below
Misinformation
Information on Form Misleading
Inappropriate Referral
Other
Write a brief description of incident below.
Date of Incident :
Customer obtained information by (please check one)
by Phone
Phone number that customer called from:
In Person
Where:
Customer Contact Information (Optional)
If the customer would like a DVS representative to contact them please provide information below.
Customer Name
Contact Information
Best time to contact customer between 8 -4:30 M-F
Minnesota Department of Public Safety. * Driver and Vehicle Services * 445 Minnesota Street * St. Paul, MN
DVSM-20