投诉表 填写下面的在线表格或打印并填写表格的 PDF 版本并邮寄至： VBOA 执行部门 9960 Mayland Drive，套房402 Henrico，VA 23233 传真：( 804 ) 527 - 4207 在线投诉表 Step 1 of 6 – Complainant 0% CompanyThis field is for validation purposes and should be left unchanged.Type of Allegation (select all that apply)* Audit and attestation services Tax services Due professional care Practicing without a license Other Complainant Information (individual making the complaint)Individual making the complaint. For anonymous complaints: do not complete this section.Name First Last Email PhoneAddress Street address Address line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP code Respondent InformationIndividual or firm against which the complaint is made.Name First Last Firm nameEmail PhoneAddress Street address Address line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP code General Information for the ComplaintHave you contacted the individual or firm in an effort to resolve the complaint?* Yes No If yes, list the steps taken to resolve the complaint. If necessary, use additional sheets of paper.Have you filed a complaint or intend to file a complaint with another agency?* Yes No If yes, name the agency.Are there other individuals that can provide supportive testimony to your complaint?* Yes No If yes, provide contact information.Name, phone number and address for any individuals.Is a court case currently in progress regarding the complaint?* Yes No Do not know If yes, provide contact information for the attorney handling the case.Name, phone number and address. Allegations of the ComplaintProvide details of your allegationNames, dates and other specific information relevant to your complaint.File uploadAccepted file types: jpg, png, pdf, doc, docx, xls, xlsx, ppt, pptx, txt, rtf, Max. file size: 100 MB. If you would prefer to upload a file with the details of the complaint you may do so here. Please redact or remove all sensitive information. Supporting DocumentationIndicate the types of supporting documentation provided. Contract Engagement letter Invoice Tax return Correspondence Financial statement Report Other File uploads Drop files here or Select files Accepted file types: jpg, png, pdf, doc, docx, xls, xlsx, ppt, pptx, txt, rtf, Max. file size: 100 MB. Attach supporting documentation to validate allegations referenced in the previous section of this complaint. Please redact or remove all sensitive information. Certification of ComplaintFor anonymous complaints: do not complete this section.Certifications* I, the complainant, certify that the information provided above is true and accurate to the best of my knowledge. I understand that if the VBOA determines a violation may have occurred, a copy of this complaint form will be sent to the respondent indicated above. Complainant nameDate MM slash DD slash YYYY SignaturePlease use your mouse, touchscreen or touchpad to sign the box above.CAPTCHA Δ
