Complaint Registration

To file a complaint, please complete the form below and click "Register Complaint".

Complainant Information

NAME:

EMAIL ADDRESS:

ADDRESS:

CITY:

STATE:

ZIP:

HOME PHONE:

WORK PHONE:

Complaint is registered against:

NAME:

ADDRESS:

CITY:

STATE:

ZIP:

WORK PHONE:

Address of Building or Project:

Name of Building or Project Owner:

Name of Contractor/CM:

STATEMENT OF COMPLAINT

Provide narrative detailing your complaint, facts only, avoid opinions.

Provide evidence as “Exhibit A” through _______, list attached supporting documents and witnesses for the Board’s consideration in evaluating this complaint.

Provide dates, statutes, rules and/or regulations presumable violated to show reasonable cause why the Board should investigate and act to protect the health, safety, and welfare of the public. Provide any other information necessary, number additional pages as needed.