DBPR 0070 at a glance
What it is: DBPR 0070 is the Uniform Complaint Form of the State of Florida Department of Business and Professional Regulation.
Where and when to file: Please mail the completed Uniform Complaint Form to the appropriate address listed on page 5 of 5 of the form.
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.
What to bring and attach to DBPR 0070
Please provide all relevant documentation that supports your complaint with this form.
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. The Department is unable to return original documents to you.
A filled-in DBPR 0070 example: a homeowner files a complaint
How to fill out DBPR 0070, box by box
COMPLAINANT INFORMATION
Under COMPLAINANT INFORMATION, enter your Last Name, First, Middle, Title and Suffix, and your Your Company/Occupation.
MAILING ADDRESS
Under MAILING ADDRESS, enter your Street Address or P.O. Box, City, State, Zip Code (+4 optional), County (if Florida address) and Country.
CONTACT INFORMATION
Under CONTACT INFORMATION, enter your Primary Phone Number, Alternate Phone Number and Primary E-Mail Address.
COMPLAINT DESCRIPTION
Write your complaint under COMPLAINT DESCRIPTION. Attach additional sheets as necessary.
PRIVATE ATTORNEY FOR COMPLAINANT (IF APPLICABLE)
Under PRIVATE ATTORNEY FOR COMPLAINANT (IF APPLICABLE), enter the Last Name, First, Middle, Title and Suffix, then the ADDRESS (Street Address or P.O. Box, City, State, Zip Code (+4 optional), County (if Florida address) and Country) and the CONTACT INFORMATION (Primary Phone Number and Alternate Phone Number).
SUBJECT OF COMPLAINT
Under SUBJECT OF COMPLAINT, enter the Last Name, First, Middle, Title and Suffix, the License Number (if known) and the Company/Occupation.
For the subject, enter the MAILING ADDRESS (Street Address or P.O. Box, City, State, Zip Code (+4 optional), County (if Florida address) and Country) and the CONTACT INFORMATION (Primary Phone Number and Primary E-Mail Address).
For the subject, enter the RESIDENCE ADDRESS (IF DIFFERENT THAN MAILING ADDRESS): Street Address, City, State, Zip Code (+4 optional), County (if Florida address) and Country.
PRIVATE ATTORNEY FOR SUBJECT OF COMPLAINT (IF APPLICABLE)
Under PRIVATE ATTORNEY FOR SUBJECT OF COMPLAINT (IF APPLICABLE), enter the Last Name, First, Middle, Title and Suffix, then the ADDRESS (Street Address or P.O. Box, City, State, Zip Code (+4 optional), County (if Florida address) and Country), then enter Primary Phone Number and Alternate Phone Number under CONTACT INFORMATION.
WITNESS (IF APPLICABLE)
For each WITNESS (IF APPLICABLE), enter the Last Name, First, Middle, Title and Suffix, then the ADDRESS (Street Address or P.O. Box, City, State, Zip Code (+4 optional), County (if Florida address) and Country), and under CONTACT INFORMATION, Primary Phone Number and Alternate Phone Number.
Complainant Sign Here
Complainant: Sign Here and enter the Date. By signing you affirm that you have provided the information completely and truthfully to the best of your knowledge.
More rules for DBPR 0070
Mark Yes, No or Unknown under Unlicensed Activity Complaint?
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.
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.
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.
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.
If your situation is different
The complaint is about a Community Association Manager (CAM)
DBPR CAM 4307 - Additional Information Request Questionnaire must be submitted with DBPR 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.
Common questions about DBPR 0070
Is there a deadline?
Should additional documentation be requested and not received by this Department within 30 days of the request, the file may be closed.
Where do I file it?
Please mail the completed Uniform Complaint Form to the appropriate address listed on page 5 of 5 of the form.
Sources
[1] DBPR 0070 Uniform Complaint Form (Rev 07/2011), State of Florida Department of Business and Professional Regulation (the Official source link on this page).