Get Complaint Form

Filling out a complaint form can seem daunting, but understanding the structure and purpose of each section can simplify the process. This guide will walk you through the step-by-step process of completing the Complaint Form online, ensuring you provide all necessary information clearly and efficiently.

Follow the steps to successfully complete the Complaint Form online.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. In the first section, fill in the details of the complaint you are filing against by entering the name, telephone number, and address of the individual or entity.
3. Next, identify yourself as the complainant by providing your name, telephone number, and address in the corresponding section.
4. Describe your relationship with the person against whom you are filing the complaint in the dedicated space.
5. Summarize your complaint in your own words, answering who, what, where, why, and how in the provided area.
6. List any other individuals who may have knowledge about the incident by providing their names, telephone numbers, and addresses.
7. Explain how the incident relates to the jurisdiction of the West Virginia Board of Occupational Therapy (WVBOT) in your own words in the next section.
8. Indicate if you have informed any other regulatory authority about this complaint, and provide details as requested.
9. Finally, articulate any actions you are seeking for the Board to take regarding your complaint.
10. Sign and date the form at the bottom, ensuring all information is correct before submission.
11. Once completed, you can save changes, download, print, or share the Complaint Form as needed.

Complete your complaint today by filling out the form online.