Fillable Printable Complaint Form - Utah Division Of Real Estate
Fillable Printable Complaint Form - Utah Division Of Real Estate
Complaint Form - Utah Division Of Real Estate
Page 1 of 2
The Division of Real Estate is charged with enforcing the statutes and rules relating to licensees in the real estate,
mortgage, and appraisal industries. We offer assistance according to those laws; however, you should not rely solely on
the filing of this complaint to resolve your problem. You should consider consulting an attorney to determine what
remedies might be available to you.
COMPLAINANT INFORMATION
Your Name Home telephone number Daytime or Work telephone
Street Address
City State Zip Code
E-mail Address
COMPLAINT AGAINST
Name of business and/or individual Daytime telephone number Other telephone or facsimile
Street Address
City State Zip Code
E-mail Address Web Address (URL)
PROPERTY INFORMATION
Address City State Zip
OTHER INFORMATION
Has this matter been submitted to another government agency, an arbitrator, an attorney or has a civil court or small claims action been filed? If yes,
give name, address, and telephone number.
NO YES
State of Utah
Department of Commerce
Division of Real Estate
Complaint Form
Send to:
Utah Division of Real Estate
Heber M. Wells Building, 2
nd
Floor
160 East 300 South, PO Box 146711
Salt Lake City, UT 84114-6711
(801) 530-6747 | (801) 526-4348 fax
www.realestate.utah.gov
Page 2 of 2
SUMMARY OF COMPLAINT
In the space provided below, concisely and completely des cribe your complaint, inclu ding what you have done to resolve the problem,
including dates and names of those you have contacted. Use additional sheet(s) ONLY if necessary (do not say “see attached”).
PLEASE ATTACH COPIES OF ANY DOCUMENTS RELATED TO YOUR COMPLAINT. DO NOT SEND
ORIGINALS. Materials submitted with your complaint will NOT be returned to you.
PLEASE READ THE FOLLOWING BEFORE SIGNING BELOW
In filing this complaint, I understand that the Division of Real Estate is not my private attorney, but represents
the public in enforcing laws designed to protect the public from misleading or unlawful practices. I further
understand that if I have any questions concerning my legal rights or responsibilities, the Division cannot give
me legal advice and I should contact a private attorney. I hereby give my consent to the disclosure of the
contents of this complaint and any attachments. The above complaint is true and accurate to the best of my
knowledge and belief.
SIGNATURE:_____________________________ DATE:______________
