The South Dakota Cosmetology Commission Complaint Form is the document the South Dakota Cosmetology Commission, part of the South Dakota Department of Labor and Regulation, uses to receive a written complaint about a person. The complaint form asks for the details of the person complained about, of the person making the complaint, a description of what happened, witnesses and a signature sworn before a notary. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the official PDF is published by the department at dlr.sd.gov.
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What is Complaint Form – South Dakota?
The Complaint Form of the South Dakota Cosmetology Commission, part of the South Dakota Department of Labor and Regulation, is the form used to report a complaint about a person, giving the facts, any witnesses and a sworn statement.
The form is printed under the heading of the South Dakota Cosmetology Commission, 217 W. Missouri Ave., Pierre, SD 57501, and its footer identifies it as the Cosmetology Complaint Form, Rev. 05/2022. It has five numbered parts: the person against whom the complaint is made, the person making the complaint, the nature of the complaint, the witnesses, and a question about whether you are willing to testify. A declaration under penalties of perjury, with a notary block, closes the form.
Completing it produces a signed, sworn complaint for the commission. The form explains what follows: when a complaint is received, commission staff conduct an investigation, the Cosmetology Commission Violations Committee reviews the complaint and determines appropriate action, and the complainant is notified of any action or proposed action. The form refers to separate complaint procedures documents for more detail.
This is a complaint form, not a licensing form. The commission's forms page lists the licensing, reciprocity, examination and payment forms separately.
Who needs to file Complaint Form – South Dakota?
The person making the complaint completes this form. Part 2 asks whether that person is a licensed cosmetologist, a licensed nail technician or a shop or booth owner, and for a license or shop number where one applies. These questions collect information about you; the form does not limit who may complain.
Part 1 identifies the person against whom the complaint is made. The form asks for that person's license number or, if the person has no license, a mark in the Unlicensed box. The complaint can therefore name a licensed or an unlicensed person.
You also need to be ready to answer question 5: whether you are willing to appear under oath as a witness and be cross-examined about the allegations. The form warns that if you are unwilling to testify or fail to appear when requested, the commission may dismiss the complaint.
The form does not say that anyone may sign for the complainant. If you need help completing it, the instructions direct you to the South Dakota Cosmetology Commission at 605.773.6193.
When to file Complaint Form – South Dakota
Complete the form when you have a complaint to bring to the South Dakota Cosmetology Commission. No filing deadline is printed on it.
After the commission receives the complaint, its staff conduct an investigation. The Cosmetology Commission Violations Committee then reviews the complaint and decides on action, and you are notified of any action or proposed action. The form gives no processing time. It refers you to the commission's complaint procedures documents for further information.
Because the signature must be sworn before a notary public, plan to sign the form in the notary's presence rather than ahead of time.
Documents you need
- Documents and papers that relate to the acts or occurrences you complain about, attached to the form (Part 3 asks you to attach them).
- A separate sheet of paper, only if the space in Part 3 is not enough to describe the facts.
- A notary public's completion of the block at the end of the form: your signature must be subscribed and sworn before a South Dakota notary.
How to fill out Complaint Form – South Dakota
Identify the person complained about
In Part 1, enter the name, address, city, state, ZIP, and home and work telephone numbers of the person against whom the complaint is made. Add the license number, or mark Unlicensed if the person has none.
Enter your own details
In Part 2, enter your name, address, city, ZIP, and home and work telephone numbers.
Answer the license questions
In Part 2, mark Yes or No for licensed cosmetologist, licensed nail technician and shop/booth owner. Enter your license number and shop number where they apply.
Describe the nature of the complaint
In Part 3, state the facts concisely but completely, with the date, time, place, people, addresses and telephone numbers. Use a separate sheet if you need more space.
Attach related documents
Attach the documents and papers that relate to the acts or occurrences you describe in Part 3.
List your witnesses
In Part 4, give the name, address, city, ZIP and telephone of each person who witnessed the events or likely has first-hand knowledge. The form has room for four.
Answer the testimony question
In Part 5, mark Yes or No for whether you are willing to appear under oath and be cross-examined about the allegations.
Sign before a notary
Sign as complainant under the penalties-of-perjury declaration in the presence of a South Dakota notary public, who completes the date, commission expiration and seal.
Review and download the completed PDF
Check every part for accuracy and completeness, then download or print the completed PDF from FillingPDF and send it to the commission as described under How to submit.
How to submit Complaint Form – South Dakota
The form prints no separate mailing instruction, e-mail address or online portal for returning it. The commission's contact details are on the form itself:
- Address: South Dakota Cosmetology Commission, 217 W. Missouri Ave., Pierre, SD 57501.
- Telephone: 605.773.6193.
- Website: cosmetology.sd.gov.
Before you send the completed form, have your signature sworn before a South Dakota notary public: the form includes a block for the notary's name, commission expiration date and seal. Attach the documents and papers that relate to the acts you describe, and any extra sheet you used for the narrative. If you are unsure how the commission accepts completed complaints, call 605.773.6193. The commission's forms page lists no fee for this form.
FillingPDF lets you fill out and download the PDF; submission follows the commission's channels.
Common mistakes to avoid
- Signing the declaration before meeting the notary, when the form says it is subscribed and sworn before the notary public.
- Writing the facts in vague terms; Part 3 asks for specific dates, times, places, people, addresses and telephone numbers.
- Leaving out documents and papers that relate to the acts complained of, which Part 3 says to attach.
- Squeezing a long account into the Part 3 space instead of continuing on a separate sheet of paper.
- Skipping Part 4, even though it asks for witnesses and others likely to have first-hand knowledge.
- Answering that you are unwilling to testify, or not appearing when asked; the form says the commission may dismiss the complaint.
- Leaving the license number blank and the Unlicensed box unmarked in Part 1.
- Completing the form in pencil; the instructions say to type or print clearly in pen or ink.
Frequently asked questions
What is the South Dakota Cosmetology Commission complaint form?
It is the Complaint Form (Rev. 05/2022) that the South Dakota Cosmetology Commission uses to receive a complaint. It collects details of both parties, a description of what happened, witnesses and a sworn declaration, so commission staff can investigate.
Does the complaint form have to be notarized?
Yes, the form ends with a declaration under penalties of perjury and a block that reads "Subscribed and sworn before me," with space for a South Dakota notary public's expiration date and seal. Sign it in front of the notary.
What happens after I submit a cosmetology complaint?
Commission staff conduct an investigation. The Cosmetology Commission Violations Committee reviews the complaint and determines appropriate action, and you are notified of any action or proposed action. The form refers to the complaint procedures documents for more detail.
Do I have to testify if I file the complaint?
Part 5 asks whether you are willing to appear under oath and be cross-examined about the allegations. The form warns that if you are unwilling to testify or fail to appear when requested, the commission may dismiss the complaint.
Can I complain about someone who has no license?
Yes. In Part 1 you give the person's license number, or mark the Unlicensed box if the person has none. The form does not exclude unlicensed people from a complaint.
What if I need more room to explain the complaint?
Use a separate sheet of paper. Part 3 says to add one if more space is needed and to attach any documents and papers that relate to the acts or occurrences, with specific dates, times, places, people, addresses and telephone numbers.
Can I fill out the complaint form online?
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 commission; you still need the notarized signature and must deliver the form through the commission's channels.
Where can I get help completing the complaint form?
Contact the South Dakota Cosmetology Commission, 217 W. Missouri Ave., Pierre, SD 57501, telephone 605.773.6193. The form's instructions give this address and number for anyone who needs assistance completing it.
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