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Board for Licensing Contractors

Online Complaint Form

 

The Great Seal of the State of Tennessee
Department Of Commerce and Insurance
Tennessee Board for Licensing Contractors
500 James Robertson Parkway, 1st Floor
Nashville, Tennessee 37243
(615) 741-8307

Fax (615) 532-2868

 

Warning: The information submitted on this internet form is not secure/encrypted during its transmission from your computer to the State of Tennessee's computer system. It is secure once received on the State's computer system. Please be aware of this fact and do not enter sensitive information.

 

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On-Line Consumer Complaint Form
(* in bold denotes required field)

COMPLAINANT INFORMATION
*Complainant Name
*Mailing Address
*City, State, Zip
*County
*Telephone Number
Alternate Telephone Number
Cellular Telephone Number
Fax Number, if available
Email Address, if available
RESPONDENT(S) INFORMATION
*Respondent(s) Name(s)
Street Address
*City, State, Zip
*County
Telephone Number
Fax Number, if available
TYPE OF PROJECT/LICENSE OF CONTRACTOR
*This Construction Project is: Residential
Please provide the license number of the contractor (if known).   ID#000
COMPLAINANT EMPLOYER INFORMATION
Please provide the following information to help our inspector contact you concerning your complaint, if a personal interview becomes necessary.
Name of Your Employer
Employer Address
Street Address City State Zip
Employer Telephone Number
Compliant's Occupation If Retired, list previous occupation.
*May we contact you at work? Yes No
SPOUSE/SECOND COMPLAINANT INFORMATION
If there is a spouse or second complainant, please provide the following information to help our inspector contact them concerning your complaint. Otherwise, skip this section.
Employer Name
Spouse/Second Complainant
Employer Address
Spouse/Second Complainant

Street Address City State Zip
Employer Telephone Number
Spouse/Second Complainant
Compliant's Occupation
Spouse/Second Complainant
If Retired, list previous occupation.
*May we contact Spouse/Second Complainant at work? Yes No
SPECIFIC INFORMATION ABOUT THE CONSTRUCTION PROJECT
*Have you contacted the contractor in reference to this complaint?  Yes No
(If yes, please attach a copy of the letter you sent to the contractor.)
*What type of construction project? New  Remodeling  Repair Work Addition & Renovation
Other - please specify:
*Was a building permit obtained for the construction project?  Yes No
If yes, who obtained the building permit?
*Were you given a Certificate of Occupancy? Yes No
*Were you given a written warranty for the work performed? Yes No
*What was the total contract amount of the construction project? $
*Has the contract amount been paid in full? Yes No
If no, how much is owed on the contract? $
*Are any amounts in dispute (billings, payments, change orders, etc.)? Yes No
If yes, give a complete explanation of amounts in dispute:
*What date was the construction project contract signed?
*What date was the construction project started?
*What date was the construction project completed (date of closing)?
*What date was the construction project occupied for intended use?
*Are you willing to work with one of our inspectors and the contractor to resolve the construction problems on your project? Yes No -- If no, explain unwillingness to work with our inspectors and the contractor:
*NOTE: If you are unwilling to allow the contractor back on your construction project or property, there may be very little that the Board for Licensing Contractors can do to assist you, other than to place the complaint on record.
*What is the name of the foreman/supervisor in charge of the construction project?
*Is this the individual you dealt with the most? Yes No
If no, please list the name of the individual.
ARCHITECT/ENGINEER INFORMATION
*Was and Architect/Engineer retained for this project? Yes No
If yes, please list below.
Name of Architect/Engineer   Name of Firm 
Street Address
Street Address City State Zip
Telephone Number
ATTORNEY/LEGAL INFORMATION
*Have you retained an attorney in reference to your complaint? Yes No
If yes, please list below.
Name of Attorney   Name of Firm 
Street Address
Street Address City State Zip
Telephone Number

*Has litigation been filed by you or the contractor in reference to this complaint? Yes No
If yes, has a court date been set? Yes No
If yes, what is/was the court date:

*Is litigation concluded? Yes No
If yes, you will be asked to provide a copy of this judgment.
DESIRED REMEDY AND CONSTRUCTION PROJECT LOCATION

Below you will be able to completely list your total complaint. But in short, what do you want this Board to have the contractor do or what will remedy your complaint?

Contractor to make repairs Replace:
Complete project/contract Make changes
Fined for unlicensed activity  
License revoked - Fraud, damage or injury due to gross negligence, or incompetence. (This is a lengthy legal process handled through a formal hearing overseen by an Administrative Judge and the contractor's attorney.)
Other:
*Please provide the location of the construction project:
*Street Address
*Street Address, *City, *State, *Zip
*County
*In the space below, give directions to assist our inspectors in locating the project if an inspection becomes necessary.
**BASIS FOR YOUR COMPLAINT**

The Board for Licensing Contractors is primarily concerned with problems which have not been resolved at the time of the filing of this complaint. To assist this office in processing your complaint more efficiently, we request that you list below only the existing problems. If other problems arise during the processing of your complaint, you may provide this information to the Board assigned inspector. You will be asked to provide copies of the proposal, contract, purchase orders, change orders, punch lists and permits for this project. DO NOT SEND ORIGINAL DOCUMENTS.

**THE BELOW SECTION IS REQUIRED**
*By submitting this information I hereby attest that I have examined and understand
the section entitled "FILING A COMPLAINT" located at: /regboards/contractors/complaint.shtml
I agree.

*By submitting this information, I hereby attest to the accuracy or truthfulness of the content.
I agree.

*Signature  (Please type your name) 
*Date