This complaint form is the document the Montana Department of Labor and Industry, Business Standards Division (Licensing Boards), uses to receive written complaints about a licensee. It records who the complaint is against, who is making it, six questions about the conduct and a signed statement that the complaint is true. On FillingPDF you can fill out the form online and download or print the completed PDF; the Compliance Unit receives it only by mail or email, as described below.
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What is Complaint Form – Montana?
The Complaint Form is the Montana Department of Labor and Industry, Business Standards Division (Licensing Boards), form on which a person describes alleged misconduct by a licensee so that the board can evaluate whether the complaint alleges a violation of board law or rule.
The form has these parts:
- Complaint Made Against: the licensee's name, license number, profession or occupation type, business (if applicable) and address.
- Person Making Complaint: your name, phone, address and email address.
- Six questions: the date or dates of the conduct, its location, whether you witnessed it, how you became aware of it, who may have evidence, and a full explanation of the complaint.
- A signature block in which you affirm that the complaint is true and correct to the best of your knowledge and authorize the Department to use your name and personal information to investigate or prove misconduct allegations.
A box marked For Office Use Only, with Complaint # and Date Complaint Received, is filled in by the agency. The form states that your complaint will be forwarded to the licensee unless confidentiality restrictions apply. The Department describes its complaint process at https://bsd.dli.mt.gov/filing-complaints. The revision printed on the form is Rev. 5-2022.
Who needs to file Complaint Form – Montana?
Anyone who wants to report alleged misconduct by a Montana licensee to the licensing board uses this form. It is written for the person making the complaint, who may be a witness to the conduct or may have learned of it another way; questions 3 and 4 ask which.
You need the licensee's name and, if you have it, license number and profession or occupation type, plus your own contact details. The form says the information must be legible and detailed enough for the board to evaluate whether the complaint alleges a violation of board law or rule.
Know before you sign that the complaint will be forwarded to the licensee unless confidentiality restrictions apply, and that your signature authorizes the Department to use your name and personal information to investigate or prove the allegations. The form says nothing about who may sign for someone else, so the person making the complaint is the one who signs. Questions about the process go to the Department through https://bsd.dli.mt.gov/filing-complaints.
When to file Complaint Form – Montana
File the complaint when you have conduct by a licensee to report. The form prints no filing deadline or separate due date. Question 1 asks for the date or dates of the conduct, or the date it began if it is continuing, so have those dates ready before you start. Because the board must be able to evaluate the complaint from what you write, collect your evidence and the contact details of anyone who may have evidence before you submit, instead of sending a partial form. The form does not state a processing time.
Documents you need
- Copies of evidence in your possession that relate to the alleged misconduct, such as photographs, medical records, contracts or correspondence.
- Additional pages, if the space on the form is not enough to describe your complaint in full; the form asks you to attach them.
How to fill out Complaint Form – Montana
Leave the office-use box blank
Do not fill in Complaint # or Date Complaint Received under FOR OFFICE USE ONLY; the agency completes them.
Identify who the complaint is against
Under COMPLAINT MADE AGAINST, enter the licensee's NAME, LICENSE# and PROFESSION or OCCUPATION TYPE.
Add the business and address
Enter the BUSINESS if applicable, then the ADDRESS, CITY, STATE and ZIP of the licensee.
Enter your contact information
Under PERSON MAKING COMPLAINT, enter your NAME, PHONE, ADDRESS, CITY, STATE, ZIP and EMAIL ADDRESS.
Give the dates and location
Question 1: the date or dates of the conduct, or the date it began if it is continuing. Question 2: the location of the conduct.
Answer the witness questions
Question 3: mark Yes or No for whether you are a witness to the conduct. Question 4: explain how you became aware of it.
List people who may have evidence
Question 5: give names, addresses, phone numbers or other contact information of each person who may have evidence to prove the conduct.
Explain the complaint in order
Question 6: fully explain your complaint, describing events in the order in which they occurred. The form directs you to the reverse side and to additional pages if needed.
Gather copies of your evidence
Prepare copies of evidence you have that relates to the alleged misconduct, such as photographs, medical records, contracts or correspondence.
Sign, review and download the PDF
Sign and date at the bottom to affirm the complaint is true and correct to the best of your knowledge. Check every answer, then download or print the completed PDF from FillingPDF.
How to submit Complaint Form – Montana
The form is returned by mail or by email to the Compliance Unit.
- Mail: COMPLIANCE UNIT, PO BOX 200514, HELENA MT 59620-0514.
- Email: [email protected].
Send the signed and dated form together with any additional pages and copies of your evidence, such as photographs, medical records, contracts or correspondence. The form says to describe the complaint on the reverse side and to attach additional pages if more room is needed. The Department's description of its complaint process is at https://bsd.dli.mt.gov/filing-complaints. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Writing illegibly; the form says the information must be written legibly for the board to evaluate it.
- Giving too little detail, so the board cannot tell whether the complaint alleges a violation of board law or rule.
- Describing events out of order in question 6; the form asks you to describe them in the order in which they occurred.
- Running out of room and leaving the story incomplete instead of attaching additional pages.
- Leaving out copies of evidence you already hold, such as photographs, contracts or correspondence.
- Skipping question 5 when someone else may have evidence; it asks for names, addresses and phone numbers or other contact information.
- Sending the form unsigned or undated; the signature affirms the complaint is true and authorizes use of your information.
- Filling in the For Office Use Only box with Complaint # or Date Complaint Received.
Frequently asked questions
Where do I send the complaint form in Montana?
Mail it to COMPLIANCE UNIT, PO BOX 200514, HELENA MT 59620-0514, or email it to [email protected]. The form names these two channels. The Department's complaint process is described at https://bsd.dli.mt.gov/filing-complaints.
What is the Complaint Form used for?
It is used to report alleged misconduct by a licensee to the Montana Department of Labor and Industry's licensing board. It must give enough detail for the board to evaluate whether the complaint alleges a violation of board law or rule.
Will the licensee see my complaint?
Yes, in most cases. The form states that your complaint will be forwarded to the licensee unless confidentiality restrictions apply. Your signature also authorizes the Department to use your name and personal information to investigate or prove the allegations.
Do I have to attach evidence to the complaint form?
The form tells you to provide copies of evidence in your possession that relate to the alleged misconduct, for example photographs, medical records, contracts or correspondence. Question 5 also asks who else may have evidence.
What if I need more room to describe my complaint?
Attach additional pages. Question 6 asks you to explain the complaint fully and to describe events in the order in which they occurred, and the form says to use additional pages if necessary.
Do I have to be a witness to file a complaint?
The form does not say you must be. Question 3 asks whether you are a witness (Yes or No), and question 4 asks how you became aware of the conduct, so you explain your connection either way.
Can I fill out the complaint form online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not send the complaint to the Department; you mail or email it to the Compliance Unit yourself.
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