BBRD Online Complaint Form

This form may be used for complaints on Professional & Surety Bail Bondsmen and Bail Bond Runners. We do not act as an advocate or lawyer for a person who has a dispute with another. We accept information about alleged inappropriate business practices and determine if there has been any violation of the North Carolina bail bond laws, in order that action may be initiated when appropriate.

*Please provide by email to BBRDinbox@ncdoi.gov or by fax to 919-715-3794 all documentation and any other information to support your allegation(s). This may include and is not limited to video & voice recordings, text messages, emails, etc.

Person Making the Complaint (Complainant)

Indicates required field

Name

Address

City/Town

State/Province

ZIP/Postal Code

Home Phone

Cell Phone

Complainee Name

Complainee Address

Complainee City/Town

Complainee State/Province

Complainee ZIP/Postal Code

Complainee Phone

License Number:

County/City Bond Written

Complaint (1000 characters)

Please explain specifically what you wish to report or what your complaint concerns. Please provide any receipt numbers, amount of monies involved, written agreements (when appropriate), copies of any correspondence received and names of all persons involved in your complaint.

I will be available for verbal testimony if necessary.

Yes

I may be identified to the person.

Yes

Names and address of attorney I have contacted.

I attest that the above statement is true to the best of my knowledge and belief.

Bulletin: 21-B-04 Extra Prescriptions During a State of Emergency or Disaster

BBRD Online Complaint Form

North Carolina Department of Insurance