File a Complaint: Firm Form - WV Board of Accountancy

Complainant Information

Please provide your personal information below.


Name
Address
City	State	Zip Code
Phone Number	Email

Firm Information

Please provide information for the alleged firm.


Complaint Against Name (Firm Name)
Address
City	State	ZIP Code
Phone Number	Firm Number

Description of Complaint

Please provide in detail:

The sequence of events surrounding your complaint,
The dates of occurrence, and
The names of witnesses or participants.

If additional space is needed, please continue on a separate sheet and upload the same. Also, please upload any documents supporting or otherwise relevant to your complaint.

If you need additional space, please upload a document.

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Action you expect the Board should take