Get Pr-enf-211 (r. 4-03) Complaint Referral. Pr-enf-211 (r. 4-03) Complaint Referral

The PR-ENF-211 (r. 4-03) Complaint Referral form is a crucial document utilized by the Department of Pesticide Regulation to facilitate the reporting of pesticide-related complaints. This guide will provide you with step-by-step instructions on how to accurately and efficiently complete the form online.

Follow the steps to fill out the PR-ENF-211 (r. 4-03) Complaint Referral.

1. Click ‘Get Form’ button to access the PR-ENF-211 (r. 4-03) Complaint Referral form and open it for editing.
2. Enter the date in the designated field at the top of the form. Make sure to use the current date when submitting the referral.
3. Complete the Complaint Number (C#) field. This number is optional but can help in tracking the complaint.
4. In the 'Complaint Received By' section, input the name and title of the individual who received the complaint.
5. Select the 'Complaint Source' by checking all applicable boxes. This may include Enforcement Headquarters, Regional Office, and other relevant categories.
6. Provide your contact information in the 'Complainant Name / Business' section. Fill in your name or your business name, as applicable, along with the telephone number and email address.
7. Now, enter the details of the person or business being complained about in the designated fields.
8. In the 'Complaint' section, clearly describe the nature of the complaint. Include specific details about any pesticide product involved, such as the product name and EPA registration number.
9. Fill in the 'Incident Date' and 'Incident Location/Address' to provide context for the complaint.
10. Gather any related information such as 'Other Reference Numbers' or 'Other Witnesses or Contacts' if applicable, and add them to the form.
11. Ensure that the complaint is signed by a supervisor before the form is routed. This is a critical step for processing.
12. Select the department to which the complaint is referred in the 'Complaint Referred To' section.
13. Once all fields are completed accurately, you can save changes to preserve your data. You may choose to download, print, or share the form as needed.

Complete your PR-ENF-211 (r. 4-03) Complaint Referral form online today.