Fillable Cam Complaint Package DBPR 0070 – Uniform Complaint Form Instructions

Fill Online, Printable, Fillable, Blank Cam Complaint Package DBPR 0070 – Uniform Complaint Form Instructions Form

Use Fill to complete blank online MYFLORIDALICENSE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Cam Complaint Package DBPR 0070 – Uniform Complaint Form Instructions

On average this form takes 26 minutes to complete

The Cam Complaint Package DBPR 0070 – Uniform Complaint Form Instructions form is 5 pages long and contains:

  • 0 signatures
  • 3 check-boxes
  • 104 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your MyFloridaLicense forms online.

BROWSE MYFLORIDALICENSE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Rev 07/2011 Page 1 of 5
DBPR 0070 – Uniform Complaint Form Instructions
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
Uniform Complaint Form Instructions
Pursuant to Section 455.225, Florida Statutes, a complaint is legally sufficient if it contains ultimate facts
that show that a violation of this chapter, of any of the practice acts relating to the professions regulated
by the Department, or of any rule adopted by the Department or a regulatory board in the Department,
has occurred. The Department may investigate, and the Department or the appropriate board may take
appropriate final action on, a complaint even though the original complainant withdraws it or otherwise
indicates a desire not to cause the complaint to be investigated or prosecuted to completion.
Please provide all relevant documentation that supports your complaint with this form. No investigation of
your complaint can begin until you provide all relevant information and documentation to the Department.
Failure to provide this information may result in further requests for information and delay the
investigation of your complaint.
Relevant documentation includes, but is not limited to, copies of the following, as applicable:
Contracts/ Proposals
Invoices
Proof of Payment
Advertisements
Correspondence
Authorization for Release of Patient
Information Form (Vets)
Community Association Manager (CAM)
Meeting Minutes
Management Contract (CAM)
Covenants and By-laws (CAM)
Building Permit (Electrical and Construction)
Lien(s) (Electrical and Construction)
Please send legible copies of your supporting documents. We are unable to return original
documents to you.
Should additional documentation be requested and not received by this Department within 30 days
of the request, the file may be closed.
If an investigation of any subject is undertaken, the Department will furnish to the subject or the subject’s
attorney a copy of the complaint or document that resulted in the initiation of the investigation.
Pursuant to Chapter 455, Florida Statutes, the complaint and all information obtained pursuant to the
investigation by the Department are confidential and exempt from public records requests until 10 days
after probable cause is found to exist, or until the subject of the investigation waives his or her privilege of
confidentiality, whichever occurs first. However, the exemption does not apply to actions against
unlicensed persons or unless otherwise provided by law.
Investigations differ in complexity and duration, so providing a time of completion is not possible. We
appreciate your cooperation and understanding in this matter.
Rev 07/2011 Page 2 of 5
DBPR 0070 – Uniform Complaint Form
STATE OF FLORIDA
DEPARTME
NT OF BUSINESS AND
PROFESSIONAL REGULATION
Please submit to the appropriate address on Page 4.
Any investigation or administrative proceeding brought by the Department against the subject of
your complaint will rely upon the information you provide to the Department. All allegations and
supporting documentation MUST
be provided to the Department at this time.
COMPLAINANT INFORMATION
Last Name First Middle Title Suffix
Your Company/Occupation
MAILING ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
Primary E-Mail Address
Unlicensed Activity Complaint? Yes No Unknown
COMPLAINT DESCRIPTION
Attach additional sheets as necessary.
Rev 07/2011 Page 3 of 5
PRIVATE ATTORNEY FOR COMPLAINANT (IF APPLICABLE)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
SUBJECT OF COMPLAINT
Last Name First Middle Title Suffix
License Number (if known)
Company/Occupation
MAILING ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Primary E-Mail Address
RESIDENCE ADDRESS (IF DIFFERENT THAN MAILING ADDRESS)
Street Address
City State Zip Code (+4 optional)
County (if Florida address) Country
PRIVATE ATTORNEY FOR SUBJECT OF COMPLAINT (IF APPLICABLE)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
Rev 07/2011 Page 4 of 5
WITNESS (IF APPLICABLE)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
WITNESS (IF APPLICABLE)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
I affirm that I have provided the above information completely and truthfully to the best of my
knowledge.
Complainant Sign Here:
Date:
Rev 07/2011 Page 5 of 5
Please mail the completed Uniform Complaint Form to the appropriate address below:
Divis
ion of Real Estate Board of Accountan
cy
240 N.W. 76
th
Drive, Suite A 400 Robinson Street
Orlando, Florida 32801 Gainesville, Florida 32607
Please mail the completed Uniform Complaint form
to: Department
of Business and Professional
Regulation
For the following professions:
Asbestos Contractors
and Consultants
Division of Regulation/Compliance -Consumer
Services
Athlete Agent
Auctioneers
%ODLU6WRQH5RDG Barbers
Tallahassee, Florida 32399-0782 Boxing, Kick Boxing and Mixed Martial Arts
Building Code Administrators & Inspectors
Child Labor
Community Association Managers and Firms
Construction Industry
Cosmetology
Electrical Contractors
Employee Leasing Companies
Farm Labor
Geologists
Harbor Pilots
Home Inspectors
Labor Organizations
Landscape Architecture
Mold-Related Services
Talent Agencies
Veterinary Medicine
2004 October 14 CAM: Additional Information Request
DBPR CAM 4307 – Additional Information Request Questionnaire page 1 of 2
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
2601 Blair Stone Road
Tallahass
ee, FL 32399
-0783
Note: This form must be submitted with
DBP
R 0070 Uniform
Complaint Form
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
STATUTORY DEFINITION OF COMMUNITY ASSOCIATIONS
Name of Association
Address of Association
1. Is this a residential homeowner’s association in which membership in the
association is a condition of ownership of the unit? Yes No
2. Is the association authorized to impose a fee which may become a lien against
a unit if not paid? Yes No
What is the total number of units within the association?
PERFORMING AS A COMMUNITY ASSOCIATION MANAGER (CAM)
Name of the Subject
Is the Subject employed by one or more associations or by a company that
provides services to one or more associations? Yes No
If yes, how many associations are involved?
Name of association(s) and/or company
Total number of units in all associations
Does the Subject receive compensation (for instance, a salary, reduction in
rent or fees, free rent, or any other benefits) for his or her services? Yes No
What is the total dollar amount of the association’s annual budget(s)?
2004 October 14 CAM: Additional Information Request
DBPR CAM 4307 – Additional Information Request Questionnaire page 2 of 2
SPECIFIC DUTIES
Does the Subject have the authority to control or disburse association funds, for instance:
a. Does the Subject receive funds from unit owners either by check or cash? Yes No
b. What does the Subject do with the funds: write receipts, make bank deposits?
c. Does the Subject post funds to the accounts? Yes No
d. Does the Subject have the authority to sign checks and does the Subject
sign the checks? Yes No
e. Does the association maintain a petty cash fund and is the Subject
authorized to spend petty cash? Yes No
f. Does the Subject have the authority to make changes in the association accounts? Yes No
g. Does the Subject work directly for a licensed CAM or is he/she a licensed CAM? Yes No
If yes, what is the name and license number of the CAM?
Can the Subject incur charges on association accounts? Yes No
Who approves invoices for payment (work completed, supplies delivered)? (Name and Address)
Does the Subject have input regarding the monthly or yearly financial statements? Yes No
If yes, explain:
Does the Subject have input in preparing the annual budget? Yes No
If yes, explain:
Does the Subject determine when or how to provide notice of association meetings? Yes No
Does the Subject conduct the association meetings? Yes No
Does the Subject coordinate the overall operation of the association? Yes No
Does the Subject supervise other association employees? Yes No
Who do unit owners notify with maintenance problems?
Is the Subject a registered agent for the association? Yes No
Does the Subject perform clerical functions under the direct supervision and
control of a licensed CAM? Yes No
If yes, what is the name and license number of the CAM?
Does the Subject perform only maintenance services? Yes No
ADDITIONAL INFORMATION (attach additional pages if needed):
I certify the above is true and correct to the best of my knowledge and belief.
_____________________________________________ ____________________________
(Signature) (Date)
_____________________________________________
(Print Full Name)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Cam Complaint Package DBPR 0070 Uniform Complaint Form Instructions

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document