Dmv Lt 220 Form PDF Details

At the heart of ensuring integrity within the vehicle and licensing sectors in North Carolina stands the DMV LT-220 form, a critical document administered by the Division of Motor Vehicles License & Theft Bureau. This form functions as an official channel for lodging complaints or requesting investigations into any suspicious activities or grievances related to vehicle dealerships or inspection stations. Individuals are encouraged to provide thorough details, including personal and subject information, to facilitate a precise investigation process. Pertinent documentation and a detailed narrative of the complaint play a crucial role in the complaint's subsequent handling and investigation. The LT-220 form underscores the importance of accuracy and integrity, requesting that complainants affirm the truthfulness of the information provided, underpinning the document's role in potentially leading to criminal or administrative proceedings. Submission options are designed for accessibility, allowing for both digital and physical formats, ensuring that the process is accommodating for all North Carolinians. The LT-220 form thus not only represents a tool for governmental oversight but also embodies the legal framework's commitment to consumer protection and the maintenance of high standards within the motor vehicle industry.

QuestionAnswer
Form NameDmv Lt 220 Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other nameslt 220 nc dmv form, lt 220, lt 220 complaint form ncdot, nc dmv forms

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North Carolina Division of Motor Vehicles

LICENSE & THEFT BUREAU

Official Complaint/Investigation

***Please attach copies of any and all pertinent documentation***

***Please include all known pertinent information***

COMPLAINING PARTY (COMPLAINANT) INFORMATION

Name

(Last)

(First)

(Middle)

Address

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

Business Phone

 

 

Cellular Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

Best Time to Call

 

 

 

 

 

 

 

 

 

 

 

Driver's License or Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

Home Phone

E-mail Address

State of Issuance

Zip Code

Date of Birth

 

Relationship to Subject of Complaint

 

 

 

SUBJECT OF COMPLAINANT INFORMATION

Name

(Last)

(First)

(Middle)

Address

Business Phone

City

Cellular Phone

State

Home Phone

Zip Code

Best Time to Call

 

 

 

 

 

 

 

 

 

E-mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver's License or Identification Number - If Known

 

 

 

 

 

State of Issuance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Unknown, Approximate Age

 

 

 

 

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex

Male

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Race

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place of Employment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

City

 

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IF VEHICLE DEALER OR INSPECTION STATION

Business Name

Dealer or Station Number - If Known

Address

Business Phone

Salesman or Mechanic

(Last)

LT-220 (Rev. 12/09)

City

(First)

Page 1 of 4

State

 

Zip Code

 

 

 

(Middle)

First Page

Next Page

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Last Page

Vehicle Information (if applicable, if more than 3 vehicles use Complaint Details as continuation)

(1)Vehicle Identification Number (VIN) Plate Number

Year

 

 

 

 

Make

 

 

 

 

 

 

State of Issuance

Model

Color

(2)Vehicle Identification Number (VIN) Plate Number

Year

 

 

 

 

Make

 

 

 

 

 

 

State of Issuance

Model

Color

(3)Vehicle Identification Number (VIN) Plate Number

Year

 

 

 

 

Make

 

 

 

 

 

 

State of Issuance

Model

Color

Complaint Declaration

I hereby state that the information I have provided herein is true and correct to the best of my knowledge. I submit This complaint as part of my request that the NC DMV License & Theft Bureau conduct an investigation based upon these facts. I understand that I may be called upon to testify in criminal and or administrative proceedings as a complaining witness.

Date

(Signature of Complainant)

(Signature of Witness)

 

 

If Submitting via E-mail Page 4 a Digital Signature (Adobe.PPKLite) is Required. If

 

 

mailing be sure to sign and witness this page. Mail to NCDMV License & Theft

 

 

 

 

Bureau, 1100 New Bern Ave., MSC 3131, Raleigh, NC 27699. Or you may provide a

 

 

completed and signed copy to your local office.

FOR NC DMV LICENSE & THEFT BUREAU USE ONLY

 

 

 

 

Do not complete this section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

Received by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reviewed by

 

 

 

 

 

ID/Fraud Unit #

 

 

 

 

Date

 

 

 

Inspector Case #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Results

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complainant Notified?

Yes

No

If Yes, Date notified

 

 

 

 

Time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How Notified

 

 

 

 

 

 

 

 

 

 

By Whom

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 4

 

 

 

 

 

 

LT-220 (Rev. 12/09)

 

 

 

 

 

 

 

 

 

 

 

 

 

First Page

Next Page

Previous Page

Last Page

Complaint Details

Please provide a detailed narrative of the complaint

***Please continue on additional pages if Necessary

***Remember to attach all pertinent documentation ***

Page 3 of 4

LT-220 (Rev. 12/09)

Print Form
Submit by Email

First Page

Next Page

Previous Page

Last Page

Complaint Details

Please provide a detailed narrative of the complaint

***Please continue on additional pages if Necessary

***Remember to attach all pertinent documentation ***

LT-220 (Rev. 12/09)

If Submitting via E-mail a Digital Signature (Adobe.PPKLite) is Required. If mailing be sure to sign and witness page 2. Mail to NCDMV License & Theft Bureau, 1100 New Bern Ave., MSC 3131, Raleigh, NC 27699. Or you may provide a completed and signed copy to your local office.

Page 4 of 4

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This document requires specific information; to ensure consistency, please take heed of the tips hereunder:

1. You need to fill out the lt 220 accurately, therefore be mindful while filling out the segments including all of these blank fields:

Tips on how to prepare dot form lt 220 step 1

2. Once your current task is complete, take the next step – fill out all of these fields - Drivers License or Identification, State of Issuance, Date of Birth, If Unknown Approximate Age, Sex, Male, Female, Race, Place of Employment, Address, IF VEHICLE DEALER OR INSPECTION, Business Name, Dealer or Station Number If Known, City, and State with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

dot form lt 220 writing process detailed (stage 2)

3. This stage is normally straightforward - complete every one of the blanks in in order to finish this part.

Ways to fill out dot form lt 220 stage 3

Always be very mindful while filling out this field and next field, because this is where a lot of people make mistakes.

4. Filling out Vehicle Information if applicable, Vehicle Identification Number VIN, Plate Number, State of Issuance, Year, Make, Model, Color, Vehicle Identification Number VIN, Plate Number, State of Issuance, Year, Make, Model, and Color is paramount in the fourth stage - don't forget to don't hurry and fill out each empty field!

The way to fill out dot form lt 220 stage 4

5. The very last stage to finalize this form is crucial. You must fill out the displayed fields, consisting of I hereby state that the, Date, Signature of Complainant, Signature of Witness, If Submitting via Email Page a, FOR NC DMV LICENSE THEFT BUREAU, Do not complete this section, Date, Reviewed by, Inspector Case, Results, Received by, IDFraud Unit, and Date, before using the form. Or else, it could result in an unfinished and possibly nonvalid paper!

Part number 5 for submitting dot form lt 220

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