Fax Complaint Form

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FCC Complaints

    https://consumercomplaints.fcc.gov/hc/en-us
    File a complaint. If your complaint is about a telecom billing or service issue, we will serve your complaint on your provider. Your provider has 30 days to send you a response to your complaint. We encourage you to contact your provider to resolve your issue prior to filing a complaint.

Department of Transportation Contact FAX

    https://www.fresno.gov/transportation/fax/contact-fax/
    A response to the complaint is then sent to the Complaint Coordinator. The Complaint Coordinator will send the Complainant a letter when the complaint investigation is completed. Complaint Form Complaint Form Spanish. Suggestions These suggestions are forwarded to the FAX Planning Division for review.

Practitioner and Provider Compliant and Appeal Request

    http://www.aetna.com/healthcare-professionals/documents-forms/provider-complaint-appeal-request.pdf
    Contact Address (Where appeal/complaint resolution should be sent) Contact Phone . Contact Fax . Contact Email Address . To help Aetna review and respond to your request, please provide the following information. (This information may be found on correspondence from Aetna.) You may use this form to appeal multiple dates of service for the same ...

OCR: Discrimination Complaint Form - US Department of ...

    https://www2.ed.gov/about/offices/list/ocr/complaintintro.html
    If you select the fillable PDF complaint form, once you complete the complaint form and Consent Form, you should print them out, sign them; and mail them (or email scanned copies of the signed forms) to the Enforcement Office with authority for the state where the institution or entity you are complaining about is …

Get help with an insurance complaint - tdi.texas.gov

    https://www.tdi.texas.gov/consumer/get-help-with-an-insurance-complaint.html
    Español . TDI can help you with your insurance complaint against companies, agents, and adjusters. Choose the type of insurance you’re having a problem with to learn more about your options.

Consumer Affairs - Consumer Complaint Form - Fairfax ...

    https://www.fairfaxcounty.gov/consumercomplaint/
    Your complaint may also be referred to local, state, or federal agencies that have jurisdiction. All cases are assigned a case number. When contacting Consumer Affairs or submitting information regarding your complaint, please provide this number to expedite the handling of your complaint.

How to File an ADA Complaint

    https://www.ada.gov/filing_complaint.htm
    A complaint can be filed online using the link below, by mail, or by facsimile. To file an ADA complaint online: Americans with Disabilities Act Discrimination Online Complaint Form Instructions for submitting attachments are on the form. To file an ADA complaint by mail, send the completed ADA complaint form to: US Department of Justice

PROVIDER COMPLAINT FORM Please complete this form and …

    https://www.tn.gov/content/dam/tn/commerce/documents/insurance/forms/InsProviderComplaintForm.pdf
    PROVIDER COMPLAINT FORM Please complete this form and fax or mail it back to us. We will inform you of your assigned investigator once your file has been set-up. You may wish to provide documentation that supports your complaint. If this is a complaint concerning health insurance, please complete the entire form. Complainant Information

Department of Transportation FAX

    https://www.fresno.gov/transportation/fax/
    If you have a life-threatening emergency, please dial 9-1-1. In most cases, issues can be reported and resolved using our FresGo app or call center.

Insurance Department of Financial Regulation

    https://dfr.vermont.gov/consumers/file-complaint/insurance
    The Consumer Complaint Portal will not be available March 14 - 15, 2020 due to vendor maintenance. If you wish to discuss your insurance complaint, or if you need help filing an insurance complaint, call 800-964-1784 or email [email protected] may also file a complaint online or submit a complaint by mail or fax.

COMPLAINT FORM - Placer County, California

    https://www.placer.ca.gov/DocumentCenter/View/3768/Complaint-Form-PDF
    Records Act (PRA) request. However, the remainder of this form may be made available to the public in accordance with the PRA. Moreover, if legal action is subsequently taken, it may become necessary for the County to specifically identify the complainant. This report will assist the County Departments in investigating your complaint.

Complaint Registration Form / Minnesota Board of Medical ...

    https://mn.gov/boards/medical-practice/consumers/complaints/complaint-form/index.jsp
    Information on this website is available in alternative formats to individuals with disabilities. To request information in an alternative format, contact 612-548-2158 or [email protected]

Filing a Charge

    https://www.eeoc.gov/employees/charge.cfm
    If you believe that you have been discriminated against at work because of your race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age (40 or older), disability or genetic information, you can file a Charge of Discrimination. A charge of ...

How to File a Health Care Complaint, Grievance or Appeal

    https://www.aetna.com/individuals-families/member-rights-resources/complaints-grievances-appeals.html
    Print a non-Medicare complaint form. If you have a non-Medicare plan, you can print and complete a form to mail or fax to us. Get form. Review Medicare complaint process. Find more information on the Medicare grievance process, and how to get help. Find details. Get help from your state.

Attorney General: Do Not Fax Complaint

    https://secure.in.gov/attorneygeneral/2432.htm
    Do Not Fax Complaint. We are committed to ensuring Indiana’s Do Not Fax law is enforced. To do this, we need your participation in two very important ways. First, file a complaint if you receive an unsolicited fax you believe has violated the law. Provide as completely as possible, all the information requested on the complaint form.

California State Auditor - File a Complaint

    https://www.auditor.ca.gov/hotline/filecomp
    You may file a complaint in the form of a letter to the State Auditor addressed as follows: Investigations California State Auditor P.O. Box 1019 Sacramento, CA 95812 or you may fax the letter to the State Auditor at (916) 322-2603.

File A Complaint - California Department of Public Health

    https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/FileAComplaint.aspx
    Phone, Fax, or Mail. Draft your own letter or print out our form (PDF) and mail or fax it in to the district office. You can also make a complaint via telephone by contacting the district office that has oversight of the facility in question.

Consumer Protection Complaint Form - dos.ny.gov

    https://www.dos.ny.gov/consumerprotection/form/complaintform1.asp
    If you have supporting documentation regarding your complaint such as contracts, warranties, bills received, canceled checks, correspondence, etc., please mail or fax copies of these documents as well as a copy of the completed Consumer Complaint Form to the address at the bottom of this screen.

Phone Form - Descriptions of Complaint Issues – FCC Complaints

    https://consumercomplaints.fcc.gov/hc/en-us/articles/360001201223-Phone-Form-Descriptions-of-Complaint-Issues
    If our consumer guides do not address your issue, another option is to file a complaint. Please look carefully at the list of issues on the complaint form and choose which issue most closely matches the issue you are having. Read the entire list of issues before making your choice. Below are the Phone issues you can choose from.

14157 (June 2018) Return Preparer Complaint

    https://www.irs.gov/pub/irs-pdf/f14157.pdf
    The completed form along with all supporting information can be filed by fax or regular mail. If faxing Form 14157 send to: 855-889-7957 . If mailing Form 14157 send to ... Use Form 14157 to file a complaint against a tax return preparer or tax preparation business. Tax professionals can use this form to



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