Notary Complaint Form
Notary Public Complaint Form
I. Complainant Information
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Name: [YOUR NAME]
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Address: [YOUR COMPANY ADDRESS]
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Contact Number: [YOUR COMPANY NUMBER]
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Email Address:[YOUR EMAIL]
II. Notary Public Information
Provide details about the notary public involved in this complaint.
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Name: [NOTARY PUBLIC'S NAME]
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Commission Number: [Notary's Commission Number]
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State of Commission: [State where notary is commissioned]
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Address: [NOTARY PUBLIC'S ADDRESS]
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Contact Number: [NOTARY PUBLIC'S CONTACT NUMBER]
III. Incident Details
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Date of Incident: [Date of Incident]
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Type of Document Notarized: [Type of Document]
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Location of Notary's Office: [Location of Notary's Office]
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Description of Incident: [Brief description of alleged misconduct]
IV. Attachments
If there are any documents, pictures, or any other form of evidence that supports this complaint, please attach them to this form.
V. Declaration
I, [Your Name], hereby affirm that the information provided above is true and accurate to the best of my knowledge. I understand that this complaint will be reviewed by the appropriate regulatory authority and may result in further investigation.
[Your Name]
[Date]
