Michigan Society of Professional Surveyors

Education / Licensing: Complaint Form

In this section...
Licensing Requirements Consumer & Industry Services Seminar Schedule Scholarships	Links : FSU & MTU, Trigstar Complaint Process Complaint Form Licensing Actions

View the channels through which the complaint process normally proceed.

A printable PDF version of this form is available here.

MSPS Complaint Form
Items in red are required for submission.

I. Complainant

Name:	License #:
Email:	Phone:
Address 1:
Address 2:
City:	State:	Zip:
Company Name:

II. Alleged Violator (please include as much information as possible)

Name:	License #:
Email:	Phone:
Address 1:
Address 2:
City:	State:	Zip:
Company Name:

III. Nature of Complaint
Identify, in as much detail as possible, the details of your complaint. Include dates of the basis of the complaint and indicate whether it continues. To the extent possible, please identify the section of the practice Act (Article 20) or other authority supporting the violation.

IV. Documentation of Complaint
Documentation includes photos, survey documents, advertisements, other evidence.

V. The Alleged Violation Includes:
Using the term Professional Surveyor without being licensed.
Has used the seal of another Professional Surveyor or other licensed Professional.
Has an expired, suspended or revoked license.
Has acted in a manner that may cause confusion on the part of the public.
Has misrepresented a material fact or omitted a fact which is likely to mislead or deceive a consumer.
The entity holds itself out as a professional surveying firm without having two-thirds of the principals as licensees.
Other (include explanation):

VI. Additional Support and Witnesses

Name 1:	Phone:
Address 1:
Address 2:
City:	State:	Zip:

Name 2:	Phone:
Address 1:
Address 2:
City:	State:	Zip:

Name 3:	Phone:
Address 1:
Address 2:
City:	State:	Zip:

VII. Attest
I swear and attest the foregoing information is true to the best of my knowledge.

Name:	License#:
Email:
Address 1:
Address 2:
City:	State:	Zip:
Date::