REQUEST TO REVIEW A CONTRACTOR’S PERFORMANCE
COMPLAINTANT'S INFORMATION
Email Address:
Name:
Address:
City:
State:
Zip:
Telephone:
Fax:
CONTRACTOR'S INFORMATION
Company Name:
Telephone:
BACKGROUND INFORMATION
Do you owe the contractor any money?
Yes
No If Yes, amount:
Have you retained legal counsel regarding your complaint?
Yes
No
If so, what is the name of the law firm?
Date job was started:
Date job was completed:
not complete
What is the nature of the complaint? Please be as specific as possible:
Have you ever contacted this contractor regarding your complaint?
Yes
No
Contractor's response:
What adjustment do you consider mutually fair?
If you would like to upload and attach any other supporting documentation to this form such as Word documents or Acrobat PDFS, please use the one or both of the fields. Please note only files with .doc, .pdf, .jpg, or .zip will be accepted and please limit the file size to 3MB or less.
File one:
File two:
In submiting this form, you acknowledge that the investigation requested is a non-charge conciliatory procedure and agree to hold the National Association of the Remodeling Industry harmless from any involvement in any legal action resulting from this complaint.
Miami Valley NARI
136 S. Keowee St.
Dayton, OH 45402
937.222-NARI, Fax 222.5794
[email protected]
