Division of Occupational and Professional Licensing ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated fields: last name, first name, and middle initial.
3. Fill out the section for the complaint against, including the trading name, street address, city, county, state, and zip code.
4. Provide your contact information by entering your home phone number, work phone number, and email address. Indicate whether you can be contacted via email.
5. In the contract information section, indicate if you entered into a contract by selecting 'Yes' or 'No'. If yes, specify if it was oral or written and provide details about the contracting party.
6. Complete the details regarding payment for services rendered and include any relevant dates related to the work performed.
7. Finally, provide a detailed explanation of your complaint in chronological order. Attach any supporting documents as necessary.
8. Certify that all information is true by signing and dating the form before submission.

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