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Compliance Enforcement Division 555 Wright Way Carson City, Nevada 89711 (775) 684 4690 www.dmvnv.com COMPLAINTVOLUNTARY STATEMENTI wish to file a complaint against the business or individual named.

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How to fill out the Fillable DISCLOSURE FORM Compliance Enforcement Division online

Filling out the Fillable DISCLOSURE FORM for the Compliance Enforcement Division can be straightforward with the right guidance. This form is essential for users wishing to file a complaint against a business or individual, and understanding the process can help ensure all necessary information is accurately provided.

Follow the steps to complete the form successfully.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. In the 'Person Filing Complaint' section, enter your name, daytime phone number, home phone number, address, city, state, zip code, and email address.
  3. Next, move to the 'Business or Individual Complaint Filed Against' section. Provide the business license number if applicable, and fill in the name, phone number, and address of the business or individual you are filing against.
  4. If there is a vehicle involved in the complaint, fill in the vehicle identification number (VIN), year, make, model, and color. If not applicable, select the option for 'Other complaint not involving a motor vehicle sale or repair.'
  5. In the 'Explain Complaint' section, provide a detailed explanation of your complaint. Be sure to attach copies of any documents that support your case.
  6. For the 'Payments' section, indicate whether you made payments and if so, provide the recipient's name, amount paid, dates of the payments, and the method of payment.
  7. In the 'Contracts' section, state whether you signed a contract, waiver, or invoice. If yes, include the date signed.
  8. Next, in the 'Attempts to Resolve' section, describe any steps you have taken to address the issue with the business or individual.
  9. In 'Other Agencies' section, indicate if you contacted another agency for assistance, including the agency's name and case/reference number if applicable.
  10. Finally, sign and date the form in the 'Signature of Complainant' section, and also include the signature of a notary or an authorized DMV representative if required.
  11. Once completed, save the form. You may also choose to download, print, or share the form as necessary.

Complete your disclosure form online today to ensure your complaint is officially recorded.

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