Online Complaint Form



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.

Please provide the following information concerning the person(s) and/or firm(s) against whom you are filing this complaint.
Their Name: Their License #, if any:
Business Name:

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

Location where work occurred:
Business Name
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: