Nevada State Board of Cosmetology
Consumer Complaint Form
Our Mission is to protect the public health, safety and welfare through education and insuring only qualified persons are granted licenses to perform cosmetology in the State of Nevada and that all areas where cosmetology services are provided are kept clean, sanitary and safe (NRS 644 & NAC 644)
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I am filing a complaint on a(n) *


 
You have selected 'Other'.  Please explain.

 
Who is this complaint against?

 
What is the name of the salon you are filing a complaint against?

 
What is the name of the school you are filing a complaint against?

 
What is the individual's or salon's license number?

(S-123, C-123, A-123, etc)  If you do not know, please leave blank.
 
What date did the incident occur?

When did the issue that you are complaining about occur?
 
Where did the incident occur?

What is the address? If you do not know, please leave blank.
 
Please describe the incident.

Time of incident and what happened?
 
Were there any witnesses?

     
 
Please list witnesses' name and telephone number.

First Name Last Name- (702)-555-7897.
 
Did you seek medical assistance due to the incident?

     
 
Please describe any information regarding any medical assistance that you obtained.

 
Do you have any photos or documents that you would like to submit for our review?

     
 
Please upload photo or document.

 
What is your name?

Please Note:  We will not disclose your name or information to the individual or business .
 
What is your mailing address?

Again, we will not disclose your information.  We will use this address to follow up on any action regarding this complaint.
 
What is the best telephone number where we can contact you?

This will only be used to seek more information.
Thank you!  It has been submitted.
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