This form is a sample complaint for use in a personal injury case involving the injury of the plaintiff due to a gunshot wound inflicted by the defendant.
Virginia Complaint regarding Gunshot Injury
State:
Multi-State
Control #:
US-PI-0264
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Complaint Regarding Gunshot Injury?
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FAQ
The Virginia Board of Health is a 15-member independent agency that regulates health facilities in the Commonwealth of Virginia.
Applications that are complete, fully documented, and meet the minimum requirements of the Regulations will be processed within 30 business days (6 weeks) from the date the application and fee was received.
Complaints can be submitted to the Enforcement Division verbally or in writing and may be submitted anonymously. Go to the Complaint page to see detailed information about the Complaint Process. For any questions contact the Enforcement Division at (804) 367-4691 or toll free at 1-800-533-1560 (VA Only).
Download a Printable Complaint Form Provide a detailed summary of your concerns. Attach copies (not originals) of documents relating to your concerns, if applicable. Return the completed Complaint Form to the Enforcement Division by email, fax: (804) 212-2174, U.S. mail, or in person.
You may complete a complaint form online or download one of our complaint forms. For further assistance call our Consumer Protection Hotline at 1-800-552-9963 if calling from Virginia, or (804) 786-2042 if calling from the Richmond area or from outside Virginia.
The Office of Licensure and Certification (OLC) operates under the Virginia Department of Health. They administer the state licensing programs for all medical facilities, including hospitals, nursing homes, outpatient surgical centers, hospice programs, and home care organizations.