Complaint Form

COMPLAINT FORM

NOTICE

Before filing your complaint with the TDLR, first determine if the subject of your complaint is under TDLR’s jurisdiction. TDLR has jurisdiction over Mold Assessors (the person who identifies or evaluates the mold, develops a mold management plan or remediation protocol or analyzes a mold sample) and Mold Remediators (the person or company who removes, cleans, sanitizes, or treats the mold contaminated area). The Texas Department of Licensing and Regulation (TDLR) does not investigate complaints about the presence of mold growth in buildings or homes and does not test for mold. For more information, please refer to the FAQ 's.

In order for the Texas Department of Licensing and Regulation to pursue an investigation of your Mold Assessors and Remediators 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 license number of the company and/or person who performed a mold assessment and/or mold remediation
dates mold assessment and mold remediation was performed
date you first discovered a problem
names, addresses and telephone numbers of any witness you mention in your complaint
the approximate size of the area that contained mold contamination
The type of structure the mold work was performed on (ex: commercial office, one-family dwelling, apartment, etc.)
whether the mold remediation was performed in conjunction with construction

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
proposals
contracts
receipts or invoices (please include any information that may be printed on the back page)
proof of payment (cancelled check, credit card receipt, etc.)
photographs – before and after remediation
copy of the work analysis prepared by the mold assessor
copy of mold remediation work plan prepared by the mold remediator
copy of the certificate of mold remediation

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: Mold Assessors and Remediators
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:	License or Registration #:

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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