Reporting A Tree/tree Company Complaint Form - Maryland
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1REPORTING A TREE/TREE COMPANY COMPLAINT FORM
To: MD Forest Service
Date: _____________
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From:
Mr.
Mrs.
Ms.___________________________
Mailing Address: _________________________________________________________
County: __________ Phone #s: home: ______________; work: ______________; cell: _____________
Type of complaint:
□ a licensed tree expert; □ unlicensed tree work; □ roadside tree violation; □ other ______________
Complaint Against:
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Mr.
Mrs.
Ms. _________________________; Company Name: ______________________________
Address (if known): ___________________________________________
Phone #/Email#: ______________________________________________
Truck tag # (if known): ___________________ State: ______
Description of Complaint: (describe what exactly happened; attach additional pages if needed)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Address of where complaint occurred: ________________________________________
County: ___________________
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Attachments (copies) check all that apply:
no attachments;
estimate;
invoice;
advertisement;
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business card;
pictures;
other: _________________________
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I AM willing to be a witness in court.
I AM NOT willing to be a witness in court.
□
I DO NOT want my name used on the Natural Resources Police incident report.
Signature: ___________________________
Signature: _______________________________
Print name: __________________________
Print Name: ______________________________
Be advised that incomplete information and/or a lack of witnesses may effect DNR’s ability to investigate this complaint.
Mail this form and the attachments to: (do not email this information)
Central Region:
Eastern Region:
Southern Region:
Western Region:
Headquarters:
Tod Ericson
Marian Honeczy
Horace Henry
Becky Wilson
Marian Honeczy
MD Forest Service
MD Forest Service
MD Forest Service
MD Forest Service
MD Forest Service
2 South Bond St.
580 Taylor Ave E-1
8023 Long Hill Rd
3 Pershing St. Rm 101
580 Taylor Ave E-1
Bel Air, MD 21014
Annapolis, MD 21401
Pasadena, MD 21122
Cumberland, MD 21502
Annapolis, MD 21401
(410) 836-4568
(410) 260-8511
(410) 360-9774
(301) 777-5591
(410) 260-8511
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