Please complete the following form to send a complaint to the Board. Please note: A copy of your complaint will be forwarded to the subject of this complaint. Contact Information Name* Address* City* State [select your-selectedState \"Alabama|AL\" \"Alaska|AK\" \"Arizona|AZ\" \"Arkansas|AR\" \"California|CA\" \"Colorado|CO\" \"Connecticut|CT\" \"Delaware|DE\" \"Washington DC|DC\" \"Florida|FL\" \"Georgia|GA\" \"Hawaii|HI\" \"Idaho|ID\" \"Illinois|IL\" \"Indiana|IN\" \"Iowa|IA\" \"Kansas|KS\" \"Kentucky|KY\" \"Louisiana|LA\" \"Maine|ME\" \"Maryland|MD\" \"Massachusetts|MA\" \"Michigan|MI\" \"Minnesota|MN\" \"Mississippi|MS\" \"Missouri|MO\" \"Montana|MT\" \"Nebraska|NE\" \"Nevada|NV\" \"New Hampshire|NH\" \"New Jersey|NJ\" \"New Mexico|NM\" \"New York|NY\" \"North Carolina|NC\" \"North Dakota|ND\" \"Ohio|OH\" \"Oklahoma|OK\" \"Oregon|OR\" \"Pennsylvania|PA\" \"Rhode Island|RI\" \"South Carolina|SC\" \"South Dakota|SD\" \"Tennessee|TN\" \"Texas|TX\" \"Utah|UT\" \"Vermont|VT\" \"Virginia|VA\" \"Washington|WA\" \"West Virginia|WV\" \"Wisconsin|WI\" \"Wyoming|WY\"] Zip Code* Daytime Telephone Number* Email* Subject of Complaint Name* Address* City* State [select subject-selectedState \"Alabama|AL\" \"Alaska|AK\" \"Arizona|AZ\" \"Arkansas|AR\" \"California|CA\" \"Colorado|CO\" \"Connecticut|CT\" \"Delaware|DE\" \"Washington DC|DC\" \"Florida|FL\" \"Georgia|GA\" \"Hawaii|HI\" \"Idaho|ID\" \"Illinois|IL\" \"Indiana|IN\" \"Iowa|IA\" \"Kansas|KS\" \"Kentucky|KY\" \"Louisiana|LA\" \"Maine|ME\" \"Maryland|MD\" \"Massachusetts|MA\" \"Michigan|MI\" \"Minnesota|MN\" \"Mississippi|MS\" \"Missouri|MO\" \"Montana|MT\" \"Nebraska|NE\" \"Nevada|NV\" \"New Hampshire|NH\" \"New Jersey|NJ\" \"New Mexico|NM\" \"New York|NY\" \"North Carolina|NC\" \"North Dakota|ND\" \"Ohio|OH\" \"Oklahoma|OK\" \"Oregon|OR\" \"Pennsylvania|PA\" \"Rhode Island|RI\" \"South Carolina|SC\" \"South Dakota|SD\" \"Tennessee|TN\" \"Texas|TX\" \"Utah|UT\" \"Vermont|VT\" \"Virginia|VA\" \"Washington|WA\" \"West Virginia|WV\" \"Wisconsin|WI\" \"Wyoming|WY\"] Zip Code* Daytime Telephone Number* Email, if known* This individual is: [radio subject-individual default:1 \"A Registered Architect\" \"Unlicensed Person\"] Complaint Details Nature of Complaint: [radio details-nature default:1 \"Service\" \"Unlicensed practice of architecture\" \"An issue, incident or violation of the statutes, rules, or code of professional conduct governing architects\"] Details of Complaint* Have you entered into, or anticipate, litigation regarding this matter? Note: If yes, the complaint will not be investigated unless it adversely impacts the health, safety, and welfare of the public. [radio details-litigation default:2 \"Yes\" \"No\"] Do you have documents that support your complaint? [radio details-documents default:2 \"Yes (If so, you may upload them below)\" \"No\"] If you have any documents that support your complaint you may upload them with your complaint form submission. Documents may include text and images. You may attach up to 5 documents, but keep in mind they must be saved as PDFs and 2MB or less in size each. List the name, complete address, phone number, or e-mail address of any person who has a direct interest or possesses information regarding this matter.
