Form Dtp-201 - Driver Training Programs Complaint Form Page 2
Download a blank fillable Form Dtp-201 - Driver Training Programs Complaint Form 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 Dtp-201 - Driver Training Programs 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.
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
2DTP-201 (6/15)
COMPLAINANT
You must complete this section. DMV does not accept anonymous complaints.
Your First Name
Your M.I.
Suffix
Your Last Name
Your Address
City
State
Zip Code
Your Home Phone
Your Work Phone
Your Email Address
(
)
(
)
DESCRIPTION OF COMPLAINT
Write the date or dates of this incident here:_____________________________________________________________
Write a full description of your complaint. If necessary, attach more pages.
o
o
If there is a hearing to resolve this complaint, will you agree to testify?
Yes
No
Attach the COPIES of letters or other documents that support your complaint.
If there is a hearing, I understand that the hearing will use a copy of this complaint and the other documents from me.
I understand that DMV also can provide these copies to the program or instructor named in this complaint. I understand
that this complaint and information about this complaint can be provided for a Freedom of Information (FOIL) request.
I understand that DMV will not provide any personal information about me, except my name, unless required to legally.
ç
Date
Your Signature
Mail or fax this ORIGINAL complaint form, with copies of
OFFICE USE ONLY
the documents that support your complaint, to:
Complaint Number
New York State Department of Motor Vehicles
Driver Training Programs
6 Empire State Plaza
Albany NY 12228
reset/clear
PAGE 2 OF 2
Fax: (518) 473-0160
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal