Consumer Complaints Form | Nebraska Motor Vehicle Industry Licensing Board

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Nebraska Revised State Statutes, Chapter 60, section 1411.02 states that the Board may, upon its own motion, and shall, upon a sworn complaint in writing of any person, investigate the actions of any person acting, registered, or licensed under Chapter 60, article 14, as a motor vehicle dealer, trailer dealer, motor vehicle or trailer salesperson, manufacturer, factory branch, distributor, factory representative, distributor representative, supplemental motor vehicle dealer, wrecker or salvage dealer, finance company, motorcycle dealer, or motor vehicle auction dealer or operating without a registration or license when such registration or license is required. Upon your filling out this form with the proper documentation, we will conduct an investigation under the provisions of the Motor Vehicle Industry Licensing Act.

We expect that you have brought your complaint to the attention of the dealer or person involved. You may want to consult with a private attorney to determine your private legal rights and remedies in this matter.

Complaint Reported By

Name(s)

Street Address

City/Town

State

Zip Code

Work Phone No.

Work Phone Hours

Home Phone No.

Home Phone Hours

_{(List the hours that you can be reached at the above phone numbers.)}

Complaint Reported Against

Name of Dealer or Person

Street Address

City/Town

State

Zip Code

Phone No.

Nature of Complaint

Description

Describe the facts that have led to the complaint and be sure to include, if possible, the exact dates of important events.

Documents

Please attach copies of all documents, to include: purchase contract, odometer statement, title, any repair or warranty tickets, etc.
Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.