Discipline Complaint Form

You or your establishment may print this form and mail it to the OPD office closest to where the incident took place or fax it to: For information on filing a complaint call or email conduct nysed. Please note, complaints must be submitted in writing and cannot be filed by phone. See instructions below. You may also wish to see a description of New York’s professional discipline system. Please note that we do not have authority to investigate fees you believe are too high or to intervene in fee disputes. However, we can investigate complaints involving fraudulent billing. Type or print clearly in black ink. Describe your complaint as completely as you can. If you do not have a daytime telephone number, it is helpful if you can provide a number where a message can be left for you during the day.

Consumer Complaints

The consumer must live in Tennessee OR the business must be located in Tennessee. We strongly suggest that you contact the business first before filing a complaint as this may be effective in resolving your dispute. The price gouging complaints received by Consumer Affairs are all individually evaluated. Price increases are generally considered by evaluating the increases of costs to fuel, the pre-existing price agreements, and increases in costs imposed by suppliers.

Doing so helps to ensure that the Division can evaluate the complaint for further appropriate action and help protect the citizens of Tennessee. Once the complaint is made part of our files, the business will be a sent a copy of the complaint along with a letter asking the business to respond directly to you to resolve the dispute.

Welcome to the Department of Consumer Protection Complaint Center. DCP has the authority to work with the business to correct illegal practices, bring or who performed the service and the date the transaction or service took place.

The Health Standards Section investigates complaints against licensed health care providers. Health Standards does not investigate complaints involving billing, reimbursement or care provided in a setting not licensed by the Department of Health. The Health Standards Section has no authority over physicians. Please complete the complaint form in its entirety.

Please detail your complaint allegations concisely, including the name, date of birth and date of admission for the patient involved. Complaint forms received by Health Standards Section are reviewed and a determination is made as to the course of action. If a complaint has already been filed, in writing, directly to the facility, please allow the facility approximately 30 days to investigate the allegations and provide a response with their findings.

If the facility fails to send you a written response within 30 days, you may contact our office to file a complaint. Please include a copy of your original complaint letter that was mailed to the facility along with a completed complaint form. Health Standards Section P. Phone:

Document: Read the Whistle-Blower Complaint

File a Consumer Complaint. Before you file your complaint with us, take a moment to make sure you have all of your important information. Please note: The system cannot save your complaint in progress, so you will need to complete the form in one sitting.

This form must be filed no more than 30 days from the date of publication Corporate taxpayers and owners (including LLCs) must be represented by an.

It seems that JavaScript is not working in your browser. It could be because it is not supported, or that JavaScript is intentionally disabled. Some of the features on CT. For the latest information, visit ct. To protect the health and safety of the public and our employees, DCP employees will no longer be at Columbus Blvd. Please do not send mail. Phone lines will have limited support, and voicemails will be returned when possible. We apologize for any inconvenience. The Department of Consumer Protection can not resolve every consumer dispute.

We rely on you, the consumer, to help us in our mission. You can do this in a few ways:. If you have a complaint about a product or service, your first step is to contact the business.

Texas Secretary of State

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View customer complaints of , BBB helps resolve disputes with the They replied your next date for delivery is , Still no package, Another.

Website Accessibility. ADA Accessibility. Website Administrator. Toggle navigation menu. Important Information – Please read first The Consumer Affairs Branch responds to complaints concerning tenant-landlord, cable, consumer, taxicab, and towing. Complaints are resolved through voluntary mediation or arbitration between the parties.

If you have a question or need advice about a consumer issue, contact Consumer Affairs at , TTY , to speak to a consumer specialist. Our business hours are a. Monday through Friday. We do not provide legal advice, legal representation, or pursue matters in court on behalf of individual complainants. We do not regulate prices or rent. We do not handle employee vs. If You Have a Complaint Please be sure you have made an effort to resolve this matter by dealing directly with the manager or owner of the company or landlord involved.

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You may file a complaint on-line or by phone against a facility or program licensed by MSDH if you believe you received poor quality care. Certain complaints are handled better by other agencies. If your problem concerns a mistreatment of an adult outside of a care facility, financial fraud, Medicaid or Medicare, a physician, nurse or medical clinic, please see our list of other agencies to contact.

If you would prefer to make a complaint by phone, call weekdays between 8 a. Please include as much information as possible on the form below.

or the date you became aware of the conduct. You can ask us to look at an unfair treatment complaint even while we’re deciding your claim for benefits. How to.

BBB remains operational and focused on serving our business community. Read more. BBB remains operational and focused on serving our business community and our consumers throughout this crisis. Please check out resources available to you at BBB. Some of the sources of information BBB relies on are temporarily unavailable. Also, many businesses are closed, suspended, or not operating as usual, and are unable to respond to complaints and other requests.

Make a Health Facility Complaint

Do not provide answers to the questions below, as this will not be processed as a complaint, or included as part of your complaint. The official complaint form in Microsoft Word and PDF formats can be downloaded from the links below. To file a complaint, please print out the complaint form and submit it to the Iowa Civil Rights Commission. Besides filing a complaint with the Iowa Civil Rights Commission, you may have other legal options. You may want to consult an attorney.

Purchase date and exact location where purchased. Results of any laboratory testing performed on the pet food product; How the food was stored.

Visit cdc. You should notify OCR immediately in the event of any retaliatory action. Complete as much information as possible, including:. You will then need to electronically sign the complaint and complete the consent form. After completing the consent form you will be able to print out a copy of your complaint to keep for your records.

You will need Adobe Reader software to fill out the complaint and consent forms. You may either:. If you mail or fax the complaint, be sure to send it to the appropriate OCR regional office based on where the alleged violation took place. OCR has ten regional offices, and each regional office covers specific states. You do not need to sign the complaint and consent forms when you submit them by e-mail because submission by e-mail represents your signature.

Filing an Informal Complaint

At this time, San Jacinto College continues to operate under altered operations. All Fall classes are scheduled to begin as planned, either online or in a hybrid format, tomorrow, Monday, August Registration for the Fall term remains open.

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OMB Control No. Form Expiration Date: September 30, You can file an Americans with Disabilities Act ADA complaint alleging disability discrimination against a State or local government or a public accommodation private business including, for example, a restaurant, doctor’s office, retail store, hotel, etc. A complaint can be filed online using the link below, by mail, or by facsimile.

You may submit your complaint online or by mail or facsimile. Letters and packages sent to the DRS by U.

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