Oklahoma Real Estate Appraiser Board
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2OKLAHOMA REAL ESTATE APPRAISER BOARD
APPRAISAL MANAGEMENT COMPANY (“AMC”)
COMPLAINT FORM
Date
Oklahoma Real Estate Appraiser Board
To:
Oklahoma Insurance Department
5 Corporate Plaza
3526 Northwest 56 Street, Suite 100
Oklahoma City, OK 73112
FILING PARTY INFORMATION:
Email address:
From:
Telephone:
Address:
City & State:
Zip:
AMC INFORMATION:
Name of AMC:
Certificate #:
Contact Person:
Address:
City & State:
Zip: _______ Telephone Number:
INFORMATION ABOUT YOUR COMPLAINT:
Have you contacted the AMC about your Complaint? Yes ___ No ____
If Yes, please provide additional information:
Date of Contact
Person Contacted
Results
Does your Complaint involve a specific appraisal: Yes ___ No _____
Type of Appraisal (Residential, Agricultural, Commercial, etc.):
Date of Appraisal:
Location of Property:
Names and addresses of other involved parties:
REA-AMC-05 (1106)
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