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Complaint Form

/Complaint Form
Complaint Form 2016-11-01T10:10:07+00:00

If you have a complaint about a plumber or plumbing service provider, please use the form below. You will be contacted by the SPBLA.

You are a:

ALL FIELDS ARE REQUIRED IN ORDER TO COMPLETE YOUR COMPLAINT!

Your Name*:

Your Address*:

Your City*: Your State* Your Zip*

Your Phone #1:

Your Phone #2:

Your E-Mail*:


COMPLAINT AGAINST:

Person or Company Name*:

Person or Company Address*:

Address 2: (optional)

City*: State*: Zip*:

JOB INFORMATION:

Date Work Started*: Date Last Worked*:

Job Address*:

Job Completed?:

Is the matter in Litigation?

Is there a signed Contract?

Have you Contacted the Plumber/Firm to resolve the complaint?

If so, when (Appx Date) did you last speak to them? and With whom did you speak?

DETAILS REGARDING THE COMPLAINT:

Subject:

Details of the Complaint:

Character Count Available 500

Your Desired Resoultion*:

Character Count Available 500