Online Complaint Form



Please provide the following information concerning the person(s) and/or firms against whom you are filing this complaint. Pursuant to statute, this information is not part of the public record. Do not report any work done on air conditioning, comfort cooling equipment, or domestic household appliances which came from the factory with a plug-in line.

Their Name: Their License, if any:

Address of person or firm against whom you are filing this complaint:
Street:
City: State: Zip:

Location where work occurred:
Street
City: State: Zip:

Description of work done (installed, serviced, repaired, etc):

Description of refrigeration equipment (walk-in, ice machine, meat locker, etc):

Date(s) that refrigeration work was done in violation of G.S. 87, Article 5:

State the type of violation and any additional information available:
Your (Reporter's) Name:
Your (Reporter's) Phone#: Your (Reporter's) Email: