Post Office Complaint Form printable pdf download

Post Office Complaint Form

NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS

POST OFFICE BOX 10769

RALEIGH, NORTH CAROLINA 27605

919-821-4980

919-833-5743 (FAX)

COMPLAINT FORM

Your Name: ____________________________________________________________

Your Address: __________________________________________________________

Your City: ________________________ State: _____________ ZIP: ______________

Your email: _____________________________________________________________

Home Telephone: ________________________ Work Telephone: ________________

Name of Person Against Whom Complaint is Filed: ___________________________

His/Her Work Location: __________________________________________________

His/Her Address: ________________________________________________________

His/Her City: ______________________ State: _______________ ZIP: ___________

His/her email (if known): __________________________________________________

His Her Home Phone: ____________________ Work Phone: ____________________

NATURE OF COMPLAINT

This should be explained in detail.

For example if a person is alleged to be

practicing without a license, specific examples must be cited and/or attached (i.e.:

newspaper articles, yearbooks, business cards, etc.). If known, his/her supervisor’s

name should be included. Please feel free to use additional sheets if necessary.

Please understand that the Board appreciates your help and we will not be back in

contact with you unless additional information is needed.

Post Office Complaint Form