Complaint Form

COMPLAINT FORM

NOTICE

In the event an investigation is opened Enforcement procedures require a copy of the complaint and all associated documentation be forwarded to the Respondent including your name and contact information.
If you wish to file your complaint anonymously to ensure your identity is not revealed, you must leave section ‘B’ (You, as the complaining party) blank.
Under the Texas Public Information Act, the complainant’s identity is subject to being revealed.
If the complaining party files anonymously they will not receive automated status updates.

In order for the Texas Department of Licensing and Regulation to pursue an investigation of your Electrician complaint please provide all documentation and information related to your complaint. If your complaint does not contain enough information for the Department to make a determination that a violation has occurred, your complaint may not be opened for investigation.

When completing section D of this form, important information to support your complaint may include:

complete explanation of your complaint
name and address of the person(s) who performed the work
name and address of the electrical contractor (company name)
dates work was performed
amount of money paid on each occasion
date you first discovered a problem
names, addresses, license number and telephone numbers of any electricians who examined the problem after you became dissatisfied
names, addresses and telephone numbers of any witness you mention in your complaint
how you obtained your advertisement or referral for the electrician

Documentation to support your complaint may include: (Please do not send original documents. All documents you send us will be scanned, electronically saved, and then destroyed.)

advertisements (if advertisement is a newspaper or magazine, please include the portion showing the name and date of the newspaper or magazine)
business cards
receipts of payment(s) made (credit card receipt, canceled checks, etc)
contracts
proposals or bids
invoices (please include any information that may be printed on the back page)
photographs
inspection report(s)
written statements made by electricians who examined your electrical work after you became dissatisfied

Please submit additional documentation in support of your complaint to the Department by fax (512)539-5698 or mail to TDLR, Enforcement Division, P.O. Box 12157, Austin, Texas 78711. Please do not send original documents. All documents you send us will be scanned, electronically saved, and then destroyed. Submitted documentation can only be received via e-mail, fax or regular mail. Attachments cannot be submitted with this link.

A.	If you answer yes to this question, you are required to supply your name and full address in Section B of this form.
	Would you be willing to testify if this case results in a hearing?	YesNo

Type of Complaint: Electrician
B.	You, as the complaining party:
	Name:
	Company:
	Address:
	City:	State: Zip:
	Work Phone:	Home Phone: Mobile Phone:
	Fax:	E-mail:

C.	The person or firm you are complaining about:
	Name:
	Company Name:
	Physical Address:
	City:	State: Zip:
	Mailing Address:
	City:	State: Zip:
	Office Phone:	Fax: Mobile Phone:
	E-mail:

EXPLANATION: Describe your complaint in detail. Please note that if you exceed 5000 characters, your complaint will not be submitted in its entirety. You have characters left.

Please hit the Submit button to get a Verification Page and continue the complaint process.

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