Notary Public Complaint Form
I. Complainant Information
Name: [YOUR NAME]
Address: [YOUR COMPANY ADDRESS]
Contact Number: [YOUR COMPANY NUMBER]
Email Address:[YOUR EMAIL]
II. Notary Public Information
Provide details about the notary public involved in this complaint.
Name: [NOTARY PUBLIC'S NAME]
Commission Number: [Notary's Commission Number]
State of Commission: [State where notary is commissioned]
Address: [NOTARY PUBLIC'S ADDRESS]
Contact Number: [NOTARY PUBLIC'S CONTACT NUMBER]
III. Incident Details
Date of Incident: [Date of Incident]
Type of Document Notarized: [Type of Document]
Location of Notary's Office: [Location of Notary's Office]
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]
Notary Form @ Template.net