Business Licensing Services Customer Complaint Form Page 2
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Complete Business Licensing Services Customer Complaint Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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1
2Describe the facts of your complaint in the order in which they happened. Use additional sheets of paper, if necessary. Attach readable
4.
copies (Not Originals) of any complaint-related documents, bills, and receipts, correspondence, and or any other documents provided to you
by the business or related to your complaint.
Type or print your response clearly
I certify that the foregoing statements made by me are true. I understand that if any of the statements made by me are willfully false,
I am subject to punishment. I authorize the New Jersey Motor Vehicle Commission to use the information provided to investigate the
information provided in any way necessary.
___________________________________________________________________
_____________________________
Signature of person completing this form
Date
** Note: You may fax (609) 341-3314 or e-mail (mvcblsinvestigations@mvc.nj.gov) your complaint.
Include the total number of pages:
Total # Pages: ___________________
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