MACCA Unlicensed Contractor Activity Incident Report
Unlicensed Contractor Activity Incident Report. This form will be reported to the DBPR Construction Industry Licensing Board to research further.
Which of the following does this involve?
HVAC
Plumbing
Incident Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Incident Location
Incident Company Name, if available
Incident Company Contact Info, if available
Complaint Description: Please provide as much detail as possible
I am complaining in my capacity as as:
Please Select
Building Department
Contractor
Homeowner
Owner of Commercial Structure
Subcontractor
Supplier
Other
If you would like to lodge a complaint with the county officials as well, please provide county name:
Please verify that you are human
*
Submit
Should be Empty: