Nevada State Board of Cosmetology
Consumer Complaint Response Form
The completion of this form is voluntary and if completed, it will be reviewed in conjunction with the filed complaint description and any inspection/investigation reports.
Please enter the complaint number you are responding to:

For example: C-5555
What is your name?

What is your license number?

Are you aware of or do you recall the alleged incident described in the complaint?

Please respond to the allegations described in the Consumer Complaint notification you received.

Explain the incident in your own words.
Do you have any photos or documents that you would like to submit for our review?

Please upload

Do you have any questions regarding the consumer complaint or the review process?

1. Question A 
2. Question B
3. Question C
4. Etc
Are there additional details that you would like to provide?

Thank you!
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