Mail a Complaint Form Package

Request For Complaint Forms

Note: The Complaint Form is also available for download in Adobe Acrobat ".pdf" format. Adobe has a free Reader program to view and print the forms.

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Please complete the form below to have a complaints package sent to you. The complaints package includes the following information:

Complaint Form
Instruction sheet for filling out complaint forms
Pamphlet, A Consumers Guide ... Filing Construction Complaints
Alternative format statement pursuant to the Americans With Disabilities Act

Note: A separate complaint form is required for all contractors involved in each complaint.

* Indicates a required field

Send a package with set(s) of the form(s) to:

* First and Last Name:

* Address:

* City: * State: * Zip:

(the following are optional fields so we may contact you )

E-mail: Do you have access to a printer? Yes No

Telephone: Fax:

(To send your information and receive the claim form package)

After submitting this form, you should expect to see a confirmation page. This will notify you that your request for complaint forms has been received.

(To re-enter information and try again.)

Arizona Registrar of Contractors

Request For Complaint Forms