Form 02712895 - Preliminary Statement Of Complaint - New York Department Of State
Download a blank fillable Form 02712895 - Preliminary Statement Of Complaint - New York Department Of State in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 02712895 - Preliminary Statement Of Complaint - New York Department Of State with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2State of New York, Department of State
Division of Licensing Services
Complaint Review Office
Preliminary Statement of Complaint
123 William Street, 19th Floor
New York, NY 10038
(please print or type)
(212) 417-5790
Date
Important: This document is subject to disclosure under the freedom of information law.
The person or firm you are complaining about will receive a copy of this complaint.
Your Name:
Address:
City:
State:
Zip Code:
County:
Home Telephone: (
)
Business Telephone: (
)
Type of business you are complaining about:
Appearance Enhancement
Real Estate
Hearing Aid Dealers
Upholstery & Bedding
Barber
Notary Public
Security & Fire Alarm Installers
Other
Health Clubs
Security Guards
Private Investigators &
Watch, Guard or Patrol
Agencies
Person and/or firm you are complaining about:
Name of Person:
Firm:
Address:
City:
State:
Zip Code:
Telephone: (
)
Name and Address of Other People Involved in Complaint:
Name:
Address:
City:
State:
Zip Code:
County:
Home Telephone: (
)
Business Telephone: (
)
Name:
Address:
City:
State:
Zip Code:
County:
Home Telephone: (
)
Business Telephone: (
)
Amount of money involved in complaint:
List all receipts or proof of payment:
over
ADVERTISEMENT
0 votes
Related Articles
Related forms
Customer Registration Form For Water And Sewer Billing - New York Department Of Environmental Protection
Legal
Customer Registration Form For Water And Sewer Billing - New York Department Of Environmental Protection
Legal
Form Octf001 - Complaint Form - State Of New York Department Of Law Office Of The Attorney General Eric T. Schneiderman
Legal
Form Dtf-804 - Statement Of Transaction - Claim For Credit Of Sales Tax Paid To Another State - New York State Department Of Taxation And Finance
Financial
Form Dtf-820 - Certificate Of Nonresidency Of New York State And/or Local Taxing Jurisdiction - New York Department Of Taxation And Finance
Financial
Form M-3 -supplemental Broker Dealer Statement - State Of New York Department Of Law - 2014
Financial
Form Pr-371 - Statement Of Exemption From Mandatory Participation - New York State Department Of Taxation And Finance
Financial
Related Categories
Parent category: Legal