Complaint Form You must have JavaScript enabled to use this form. Complainant Name of Company: Name: Address: Phone: (999-999-9999) Email: (you@yourdomain.com) Project Information Project Name: Name of Prime Contractor: Project Number: Complaint Details Type of Complaint: - None -Illegal SubstitutionNon-PaymentSlow-PaymentNon-utilization of Listed Sub-contractorPrevailing Wage IssueDiscrimination (Based on race, gender, nation origin, religion, disability, age, etc.)Living Wage Issue Complaint: (Limited to 2000 characters) Please state the nature of your complaint. Be specific. This information is necessary in order to fully investigate, and conclude your complaint. Remedy Requested: (Limited to 2000 characters) Previous Filings Name of Agency: Date: (mm/dd/yyyy) Status of Previous Complaint: (Limited to 2000 characters) Leave this field blank
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