Get Nj Complaint Form 2018-2026

Filing a complaint with the New Jersey Attorney General's office can seem daunting, but this guide simplifies the process. By following these steps, you can effectively complete the NJ Complaint Form online and ensure your concerns are properly submitted.

Follow the steps to successfully complete the NJ Complaint Form online.

1. Click ‘Get Form’ button to access the NJ Complaint Form and open it in your preferred editor.
2. Begin by clearly filling out your consumer information. This includes your name, address, and contact details. Ensure that you type or print legibly.
3. Next, provide the details of the complaint reported against the individual or business. Include the name, business name, and address of the licensee involved.
4. Indicate the relationship between you and the consumer or patient by selecting from the options provided.
5. If the consumer or patient is not you, fill out their information, including their name, date of birth, and contact details.
6. Detail any other practitioners or licensees involved in the matter by supplying their names, titles, license numbers, and addresses.
7. List any witnesses to the incident, providing their names and contact information to support your complaint.
8. Select the nature of your complaint from the options given, and elaborate on any issues that are not listed, if necessary.
9. Describe the events related to your complaint in chronological order. If needed, use additional sheets of paper to ensure all details are captured.
10. Outline any steps taken to resolve the issue before reaching out to the Committee.
11. Attach copies of relevant documents, such as contracts or correspondence, that support your complaint.
12. Finally, certify that the information you provided is accurate by signing and dating the form.
13. Once completed, return the form to the address provided in the guidelines.

Take action today by completing and submitting your NJ Complaint Form online.