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1605 Grand Avenue, Suite 4 San Marcos, CA 92078 Phone: 760-761-4734 / Fax:760-761-4736 CCIDC Home page
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California Council for Interior Design Certification The standard for interior designers in the State of California
“Public Protection Through Examination and Certification”
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Consumer Complaint form Print this form,
fill it in and FAX it to (760) 761-4736 or mail to: CCIDC, 1605 Grand Avenue, Suite 4, San Marcos, CA 92078 or you may file a complaint online
PART ONE:
Date:_____________________________________________________
Name of person filing complaint________________________________
Company (if applicable)______________________________________
Address:__________________________________________________
City____________________________________State______
Zip____________
Tel. No:(____)______________________________________________
Fax No:(____)______________________________________________
E-mail address:_____________________________________________
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PART TWO:
Name of person complaint is against:___________________________
Company (if applicable)______________________________________
Address:__________________________________________________
City____________________________________State______
Zip____________
Tel. No:(____)______________________________________________
Fax No:(____)______________________________________________
E-mail address: _____________________________________________
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Are they Certified?
circle one (yes) (no) Certification #_______________
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Are they a member of a professional organization? circle one (yes) (no)
If so, which one?____________________________________________
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Nature of your complaint _________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
(Please use a separate sheet of paper if you need more space for your complaint)
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