Search Site Pages

Licensee Login


Email me my password

NCICLB Complaint Form

If you would prefer not to file a complaint online, please click here to complete a hard-copy .pdf of our complaint form, which you may then mail or fax to our office.  Please be as detailed and specific as possible when submitting a complaint.  Attach any documentation or evidence that might substantiate the complaint.

 

  1. SUSPECT COMPANY INFORMATION
  2. (required)
  3. Type of Complaint



  5. (required)
  12. Job Complete?


  15. SITE INFORMATION
  17. (required)
  18. (required)
  19. (required)
  20. Site Type



  25. (required)
  26. (required)
  27. (required)
  28. COMPLAINANT INFORMATION
  29. (required)
  30. (required)
  32. (required)
  33. (required)
  34. (required)
 

cforms contact form by delicious:days


© 2011 NCICLB. All rights reserved. Website by vitalink®.