File A Complaint

STEP 1 OF 3

Who are you complaining about?

Please provide as much information as you can about the person/firm.

* Fields in red are required

First Name:
*Last Name / Firm:
Street Address:
City:
State:
Zip Code:
Phone:
*Profession:
STEP 2 OF 3

Explain Your Complaint

* Fields in red are required

* Please describe in detail what happened.

Please answer the following questions as completely as you can:

Where did the offense take place?

On what date did it occur or begin?

At what time?

Who witnessed or has knowledge of the conduct you are complaining about?  Please list names and phone numbers with a description of what was observed.

Please explain your relationship to the person you are complaining about.

Have you spoken to the person you are complaining about?

How did they respond?

Have you filed a suit with the courts on this matter?

What date was it filed and what is the case number?

STEP 3 OF 3

Person making the complaint (You)

NOTE: You must provide your name and at least one method of contact (email or phone number).  It may be necessary to communicate with you to in order to obtain additional information and/or evidence.  If you wish to remain anonymous, please inform the assigned investigator when he/she contacts you.

*First Name:
*Last Name:
Street Address:
City:
State:
Zip Code:
*Email:
*Phone:
*Re-Enter Email: