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STATE OF FLORIDA BOARD OF NURSING CASE NUMBER: 201422466 COMPLAINT MADE BY: DOH DATE OF COMPLAINT: September 28, 2015, SUBJECT: Michele L. Mattock, 1363 Druid Road E. FL 33756 SUBJECTS ATTORNEY N/A
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How to fill out a complaint made by:

01
Begin by clearly stating your name and contact information at the top of the complaint form. This will allow the recipient to easily identify who the complaint is coming from.
02
Provide a brief but detailed description of the incident or issue that led you to file the complaint. Include dates, times, locations, and any other relevant information that will give a clear picture of what occurred.
03
Clearly state the desired outcome or resolution you are seeking. Whether you want an apology, reimbursement, or some other form of compensation, make sure to outline your expectations in a concise manner.
04
If applicable, gather any supporting evidence or documentation to strengthen your case. This could include photographs, emails, receipts, or witness statements. Make sure to clearly reference and attach these documents to the complaint form.
05
Review the completed complaint form for accuracy and clarity. Double-check all the information provided to ensure that there are no errors or omissions that could potentially weaken your case.
06
Finally, sign and date the complaint form before submitting it to the appropriate recipient. This will signify that you are the author of the complaint and that the information provided is true and accurate.

Who needs a complaint made by:

01
Individuals who have experienced a negative or unfair event, such as receiving poor service, being mistreated, or encountering a faulty product, may need to file a complaint to seek resolution or hold the responsible party accountable.
02
Consumers who want to exercise their rights and ensure that their concerns or grievances are heard by relevant authorities or organizations may need to submit a complaint.
03
Employees who have faced workplace discrimination, harassment, or unfair treatment may need to initiate a complaint process to address the issue and potentially seek legal recourse.
04
Citizens who have witnessed or been affected by illegal activities, corruption, or misconduct within their community may need to file a complaint to report these incidents and help bring about justice or restore order.
In summary, filling out a complaint involves providing accurate contact information, clearly describing the issue, stating the desired outcome, collecting supporting evidence, reviewing for accuracy, and signing the completed form. Complaints can be made by individuals who have experienced unfair treatment, poor service, faulty products, workplace issues, or have witnessed illegal activities in their community.
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Complaint can be made by an individual, a group, a company, or an organization.
The complainant, who is the individual, group, company, or organization making the complaint, is required to file the complaint.
The complaint can be filled out by providing detailed information about the issue or grievance, including names, dates, witnesses, and any supporting documentation.
The purpose of a complaint is to bring attention to an issue or wrongdoing in order to seek resolution or justice.
The complaint must include details about the incident, names of parties involved, dates, locations, and any supporting evidence.
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