Fillable Printable Vehicle Dealers, Manufacturers And For Hire Complaint Form

Vehicle Dealers, Manufacturers And For Hire Complaint Form

Vehicle Dealers, Manufacturers

and For Hire Complaint Form

You can use this form to ﬁle a complaint against a service provider or professional licensee. If you have any questions,

call (360) 664-6475.

Fax your complaint and the required enclosures to (360) 570-4953, scan and email to [email protected]v, or mail:

Dealer Investigations–Olympia

Department of Licensing

PO Box 9039

Olympia, WA 98507-9039

Enclose the following:

• Adetailedexplanationofyourcomplaint;thisincludesdates,otherpartiesinvolved,andasummaryofany

effortsyouhavealreadymadetoresolvetheproblem.Describeeventsintheordertheyoccurred.

• Copiesofalldocumentsthatrelatetothecomplaint(i.e.purchaseorder,odometerstatement,warranty,

receipts,etc.)

Business or person you are ﬁling a complaint about

Profession or type of business

Vehicle dealer Off-road vehicle dealer Limousines For hire

Vessel dealer Scrap processor Hulk hauler

Registered tow truck operator Unlicensed dealer Wrecker

Vehicle manufacturer Manufactured home/travel trailer dealer Snowmobile dealer

Service provider or professional licensee name (Last, First, Middle) Dealer/Business License number (if known)

Business name

(Area code) Telephone number and extension (Area code) Fax number email or web address

Business address

City State ZIP code

Your contact information

Name (Last, First, Middle)

Business name (if any)

(Area code) Telephone number and extension

(Area code) Alternate telephone number

Email address

Mailing address

City State ZIP code

Vehicle/vessel information

Year Make Plate/Registration number VIN/HIN

BPD-600-006K (R/6/14)WA Page 1 of 2 (continued)

Click here to START or CLEAR, then hit the TAB button

Complaint summary

Provide a brief summary of your complaint. Attach an additional sheet if necessary.

The information I have provided above is true and correct, and I have provided all required enclosures to which I have access.

Signature Date

What happens after you submit your complaint

1. We determine if the complaint falls within our legal authority.

• Ifitisnotsomethingcoveredbyourlaws,wewillnotifyyou.

• Ifitappearstofallwithinourauthority,wemayconductaninvestigation.Ourinvestigatorwillactasanimpartial,

fact-ﬁnding third party. During the investigation, they are not representing you (the complainant), the Department

or professional board, or the service provider. The investigator may contact the person you ﬁled your complaint

against to ask for a response, which may include providing them with a copy of your complaint. The length of time an

investigation takes depends on current caseload and the complexity of the case.

2. After all the facts have been gathered, we evaluate the information.

• Iftheevidencefailstosupportaviolationofthelaws,thecasewillbedismissed.

• Ifaviolationhasoccurred,ourDepartmentorprofessionalboardmayrecommenddisciplinaryactiondependingon

the severity of the violation. Disciplinary action generally involves one or more of the following:

• Reprimand

• Fines

• Suspensionorrevocationofthelicense

• Theserviceproviderorprofessionallicenseemayrequestahearingtodisputetheprogram’sdecision.

• Wewillnotifyyouoftheoutcomeofyourcomplaint.

Ourdecisionsdon’tconstitutelegalopinion.Wedon’thavetheauthoritytorecoverfunds,awarddamages,ormake

judicial determinations. To pursue these types of remedies, you should seek legal advice.

BPD-600-006K (R/6/14)WA Page 2 of 2

When completed, please print this out and sign here.