Driving Test Examiner Complaint Form
Please complete this form to file a complaint about a driving test examiner. All information will be handled confidentially and used for investigation purposes only.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Test Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Test Location
*
Examiner Name or ID (if known)
Complaint Classification
*
Please Select
Unprofessional Conduct
Bias or Discrimination
Improper Test Administration
Rudeness or Hostility
Other
Incident Description
*
Witnesses (names and contact details, if any)
Desired Resolution or Outcome
Submit Complaint
Should be Empty: