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Form for reporting concerns, complaints or other matters to senior management, our internal auditor, Directors, Audit Committee or Independent Directors.

If you wish, please provide your contact information (Providing your contact information is voluntary.)

First Name:
Middle Initial:
Last Name:
Address 1:
Address 2:
City, State, Zip:
Telephone:
Email Address:

If you would like your report directed to specific individuals such as the CEO, internal audit, human resources, directors, etc. please tell us by completing the the box below:

If your correspondance is about one of our communities, please contact the Five Star Gold S.T.A.R. Customer Service Line at: 1-877-349-5349, Extension 383.

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