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Maine.gov > PFR Home > Professional Licensing > Complaint Form

State of Maine
Office of Licensing & Registration

Confidential Complaint Form

Office of Licensing & Registration
35 State House Station
Augusta, ME 04333-0035


If you have any questions regarding this form, you can contact:
Manufactured Housing Board - Complaint Email Phone: (207) 624-8612
Board of Pharmacy - Complaint Email Phone: (207) 624-8621
Real Estate Commission - Complaint Email Phone: (207) 624-8524
All Other Programs - Complaint Email Phone: (207) 624-8660

For other questions, please contact the department:
Tel:
TTY:
Fax: 		(207) 624-8603
1-888-577-6690
(207) 624-8637

Please note: Although it is most unlikely that you will experience any problems using this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may send an email to: Helpdesk or call 624-7700

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1. Who is the complaint against?
 


Confidential Online Complaint Form

 Mr. Ms. Mrs.

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  (i.e. 207-555-1111)


2. Complaint
 
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3. Information About You
 
Mr. Ms. Mrs.
*
*
*
*
*
  (i.e. 207-555-1111)
  (i.e. 207-555-1111)
  (i.e. 207-555-1111)
*