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The Commonwealth of Massachusetts Division of Professional Licensure Office of Public Safety and Inspections Phone (617) 7273200 Fax (617) 7275732 TTY (617) 7270019 www.mass.gov/dpl/opsiApplication
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How to fill out application for complaint

01
Start by writing your personal information at the top of the application, including your name, address, and contact details.
02
Clearly state the purpose of your complaint in a brief and concise manner.
03
Provide a detailed account of the incident or issue that led to your complaint. Be sure to include relevant dates, times, locations, and any supporting evidence or documentation.
04
Clearly state what resolution or outcome you are seeking. Be specific about what actions or measures you believe would be fair and appropriate.
05
Sign and date the application at the bottom to validate it.
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Make copies of the completed application for your records, and submit the original to the appropriate authority or organization as instructed.

Who needs application for complaint?

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Anyone who wishes to file a formal complaint regarding a particular incident or issue.
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An application for complaint is a formal document submitted by an individual or entity to address a grievance or issue that requires resolution.
Any individual or entity who has a complaint or grievance that needs resolution is required to file an application for complaint.
To fill out an application for complaint, one must provide detailed information about the complaint, including supporting documentation and evidence.
The purpose of an application for complaint is to formally address and document grievances or issues that require resolution.
Information such as the nature of the complaint, supporting evidence, relevant dates, and contact information must be reported on an application for complaint.
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