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Full name
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Postal address
Email
Phone number
Who you are complaining about
Name of the tradesperson you are complaining about
Tradesperson registration number (if applicable)
Tradesperson's company name (if applicable)
Tradesperson's email address (if known)
Tradesperson's contact phone number (if known)
Tradesperson's address (if known)
Trade(s) of concern
Plumbing
Gasfitting
Drainlaying
The work that was carried out
Building consent number
Date(s) the work was carried out
Address where the work was carried out
What work was carried out (please be specific)
What are the problems with the work that has been carried out?
Has the work been inspected or fixed by a remedial tradesperson
Yes
No
Name of remedial company
Email for remedial company
Phone number for remedial company
You MUST agree to:
I agree to be named as the complainant
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I agree to sign a statement outlining my complaint
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By signing the statement, you must be prepared to attend a Board Disciplinary Hearing or a District Court prosecution if required.
Declaration
I declare that the information I have supplied in this form is true and correct.
*
I agree to all documentation relating to this complaint being released to the parties involved.
*
I understand that all information I provide is subject to public release.
*
If the Board receives a request for this material they will be required to consider its release, in whole or part, in terms of the criteria set out in the Official Information Act 1982.