Get Statement Of Complaint - Licensing And Regulatory Affairs - Dleg State Mi

Filing a complaint with the Department of Licensing and Regulatory Affairs can be a straightforward process when you understand how to complete the Statement Of Complaint form. This guide provides clear steps to help you fill out the form accurately and efficiently.

Follow the steps to complete your Statement Of Complaint form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the licensee or company you are filing a complaint against in the designated field.
3. Fill in the address of the licensee, including the number and street, city, state, and zip code.
4. Provide your own name and address in the corresponding fields to ensure the department can contact you.
5. Enter your telephone number, including both day and evening contact options.
6. Indicate whether you are willing to testify in a hearing by selecting 'Yes' or 'No'.
7. List the specific person you dealt with at the company and their license number if known.
8. Select the profession that your complaint pertains to from the provided list.
9. Detail any previous contact you had with the licensee regarding your complaint by answering the relevant questions.
10. Describe what actions you want the licensee to take to resolve your complaint.
11. Briefly explain the details of your complaint in the space provided. If necessary, attach additional sheets to give a thorough description.
12. Itemize any financial losses you have incurred, indicating this on a separate sheet if needed.
13. Attach copies of supporting documents to substantiate your complaint, as this will help prevent delays.
14. Review the entire form for accuracy and completeness before signing and dating the form at the back.
15. Once you have completed the form, save your changes, and you can then download, print, or share the form as needed.

Start completing your Statement Of Complaint online today.