Association for Allergy Safety & Education  

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Did you experience an allergic reaction that was the fault of the establishment you were eating at? If so, enter the information of the establishment below and we will send them a notice about the reaction and what they can do to prevent allergic reactions in the future. As you can see below, only the establishment info needs to be reported and the allergy you suffer from, your information will remain completely anonymous.

Establishment Name  
Establishment Address  
Establishment City  
Establishment State  
Your Allergies  



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