BOI COMPLAINT FORM

BOI COMPLAINT FORM

All BOI complaints must be submitted within 90 days of the incident reported. Complaints must be submitted with a notarized statement and any cited documents. Payment is required for statement to be brought forward - If the BOI makes the decision to not move forward with your statement, this deposit will be refunded promptly.
Member Information

First NameMiddle NameMember Number
Date of Complaint

MonthDayYear
Date of Incident

MonthDayYear
Member Email
example@example.com
Contact Number
Please Select Each Attached Documentation

Notarized Formal Complaint ( Required )Witness StatementsOfficial USMRA Supporting DocumentsMembership Supporting Documents
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Notarized BOD Complaint
$250.00 Quantity

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$0.00
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