Inv 172A Form PDF Details

Navigating through the process of filing a complaint with a public service agency, especially concerning vehicle transactions or related issues, requires a structured and well-documented approach. At the heart of this process is the Record of Complaint Form, known as INV 172A, a crucial document designed to streamline the grievance lodgment with the Department of Motor Vehicles (DMV). This form serves as a formal record of an individual's or entity's discontent with a business or seller's services or products in the vehicular sector. The thoughtful layout of the form mandates the provision of comprehensive information, including personal details of the complainant, specifics about the business or seller in question, and detailed vehicle information which is pertinent to the transaction. Additionally, it insists on the inclusion of any supporting documents—which could range from contracts and warranties to receipts and photographs—to substantiate the claim, emphasizing the importance of clarity and evidence in the complaint process. The instructions underscore not sending original documents, thus safeguarding valuable personal records. Finalizing the substantive section on the details of the complaint, the form facilitates a direct channel of communication between the aggrieved party and the DMV's Investigation's District Offices, spread across various locations, thereby ensuring that the complaint is directed to the correct jurisdiction for timely and effective resolution.

QuestionAnswer
Form NameInv 172A Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesca complaint dmv, inv 172a form, inv172a, form 172a dmv

Form Preview Example

A Public Service Agency

RECORD OF COMPLAINT FORM

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Instructions:

Read DMV Complaints brochure (FFINV 1) before completing your complaint. FFINV 1 can be located at dmv.ca.gov. Not all complaints are investigated.

Please type or print clearly.

You must supply a copy of any supporting documents related to your complaint. (Include: contracts, warranties, receipts, cancelled checks, repair orders, photographs, letters)

Failure to send supporting documents may delay response to your complaint. Do not send original documents.

Mail the complaint and copies of supporting documents to the Investigations District Office closest to where the incident took place. See section 5 for office locations.

SECTION 1 — COMPLAINANT (Person Filing Complaint)

NAME (LAST, FIRST, MIDDLE INITIAL)

 

 

 

DRIVER LICENSE OR IDENTIFICATION NUMBER

 

 

 

 

 

 

ADDRESS (STREET OR P.O. BOX)

 

APT. NUMBER

CITY

STATE

ZIP CODE

 

 

 

 

 

DAY TELEPHONE NUMBER

EVENING TELEPHONE NUMBER

 

E-MAIL ADDRESS

 

(

)

(

)

 

 

 

 

 

 

 

 

 

SIGNATURE

 

 

 

DATE

 

X

SECTION 2 — BUSINESS/SELLER COMPLAINT IS AGAINST (If applicable)

NAME (LAST, FIRST, MIDDLE INITIAL)

TELEPHONE NUMBER

()

ADDRESS (STREET OR P.O. BOX)

CITY

STATE

ZIP CODE

1. Did you send a previous complaint to DMV against this business/seller?..............................................

Yes

No

IF YES, WHEN?

2.

May we show a copy of your complaint to the business/seller?

..............................................................

Yes

No

 

 

 

 

 

 

3.

Did the transaction occur at a location different than the business address above?

Yes

No

 

 

 

 

 

 

 

 

IF YES, ADDRESS (STREET OR P.O. BOX)

CITY

STATE

ZIP CODE

 

 

SECTION 3 — VEHICLE INFORMATION

Type the license plate number and vehicle identification number as they are shown on the contract between the buyer and seller. Enter the purchase date (same as when the contract was signed)

YEAR

MAKE

MODEL

LICENSE PLATE NUMBER

STATE

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER (VIN)

 

PURCHASE DATE

 

 

 

 

 

 

*INV172A*

INV 172 A (REV. 10/2021) WWW

SECTION 4 — COMPLAINT (Explain the details of this complaint)

IF MORE SPACE IS NEEDED, ATTACH ADDITIONAL SHEETS OF PAPER

SECTION 5 — DEPARTMENT OF MOTOR VEHICLES INVESTIGATIONS DISTRICT OFFICES

CITY

STREET ADDRESS

ZIP CODE

Bakersfield

7000 Schirra Court

93313-2117

Brisbane

150 North Hill Drive, Ste. 29

94005-1025

Cerritos

12900 Park Plaza Drive, Ste. 325

90703-8564

Chula Vista

30 North Glover Avenue

91910-1040

El Monte

3204 Rosemead Boulevard, Ste. 202

91731-2912

Fresno

2510 South East Avenue, Ste. 100B

93706-8007

Milpitas

860 Hillview Court, Ste. 100

95035-4567

Los Angeles (LA Metro)

3615 South Hope Street

90007-4370

Riverside

6296 Rivercrest Drive, Ste. A

92507-0738

Rocklin

4240 Rocklin Road, Ste. 11

95677-2862

Orange

750 The City Drive, Ste. 200

92868-6902

Sacramento

8259 Demetre Avenue, MS/L219

95828-0932

San Diego

4375 Derrick Drive

92117-4990

San Diego (Mission Valley)

2878 Camino Del Rio South, Ste. 310

92108-3847

Stockton

1507 East March Lane, Ste. B

95210-5625

Vallejo

200 Couch Street

94590-2904

Van Nuys

15400 Sherman Way, Ste. 100

91406-3365

Ventura

1732 Palma Drive, Ste. 202

93003-5717

West Covina

800 South Glendora Avenue, Rm-100

91790-4201

 

 

 

 

 

 

INV 172 A (REV. 10/2021) WWW

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Filling out this document will require attentiveness. Ensure all mandatory fields are filled out correctly.

1. The inv172a form will require particular information to be entered. Be sure that the next blanks are finalized:

ca complaint dmv form conclusion process shown (portion 1)

2. When the last section is complete, you're ready to put in the necessary details in YEAR, MAKE, MODEL, LICENSE PLATE NUMBER, STATE, VEHICLE IDENTIFICATION NUMBER VIN, PURCHASE DATE, INV A REV WWW, and INVA so you're able to go to the 3rd stage.

Step # 2 for filling out ca complaint dmv form

3. This third step will be straightforward - complete all the form fields in SECTION COMPLAINT Explain the to conclude this process.

Step # 3 in filling out ca complaint dmv form

It's very easy to get it wrong while filling in the SECTION COMPLAINT Explain the, therefore be sure to take another look before you decide to submit it.

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