Complaint Form - Virginia Board Of Accountancy Page 4

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vboa
VIRGINIA BOARD
OF ACCOUNTANCY
Complaint Form
SUPPORTING DOCUMENTATION
Attach supporting documentation to validate allegations referenced in the previous section of this complaint.
Indicate the type(s) of supporting documentation provided. Please redact all sensitive information.
Contract
Engagement letter
Invoice
Tax return
Correspondence
Financial statement
Report
Other
CERTIFICATION OF COMPLAINT
For anonymous complaints: Do not complete this section
I, the complainant, certify that the information provided above is true and accurate to the best of my
knowledge.
I understand that if the VBOA determines a violation may have occurred, a copy of this complaint form
will be sent to the respondent indicated above.
Print name:
Date:
Signature:
Updated July 2017
Page 4 of 4

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