Forms • Business License Complaint Form

Business License Complaint Form

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First and Last Name*
Mailing Address (street number and street name)*
City, State and ZIP Code*
Home Phone Number
Cell Phone Number
Email*
Name of Business that is subject of the complaint (Boulder City, NV businesses only)*
Business Address (if street number not known, at least the street name)*
Description of complaint. Enter information regarding your complaint. Be sure to include all of the relevant facts, including the :what, when, where and how.: List each event in the order in qhich it occurred, include the date of occurrence. Indicate any actions that you have taken to resolve the issue.

* indicates required fields.