Get Complaint Form - Nebraska Board Of Geologists

Filing a complaint with the Nebraska Board of Geologists is an important process for addressing concerns about geological practices. This guide will help you navigate the complaint form online effectively, ensuring you provide all necessary information clearly and accurately.

Follow the steps to complete the complaint form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill out the RESPONDENT section with the details of the person against whom you are filing a complaint. Include their name, license number (if known), company name, phone number, address, fax number, email, and any other relevant information.
3. Complete the COMPLAINANT section with your information. Provide your name, phone number, address, fax number, email, and the best time to contact you. Remember, this information will be kept confidential unless disclosure is necessary for enforcement action.
4. If applicable, enter the PROJECT ADDRESS where the complaint pertains. Include the street address, parcel number (if known), and the city.
5. Indicate whether you have documents prepared by the Respondent by selecting 'Yes' or 'No'.
6. State whether you attempted to resolve this complaint with the Respondent by selecting 'Yes' or 'No'.
7. If the Respondent responded, explain the situation in the provided space. Use additional sheets if necessary.
8. Describe your complaint in detail. Be specific about what happened, include other involved parties (such as city or county officials), and provide dates and relevant evidence locations.
9. Clearly state what you would like the Board to accomplish in resolving your complaint.
10. Sign and date the form. Your signature is required to initiate an investigation.
11. Mail the completed form along with any supporting documentation to the Nebraska Board of Geologists at PO Box 94844, Lincoln, NE 68509-4844. Include copies of all documents and do not send original materials. Make sure to attach extra pages if needed for completeness.

Complete your complaint form online today to ensure your concerns are heard.