Free MV3756 - Wisconsin

DRIVER TRAINING SCHOOLS/INSTRUCTORS COMPLAINT
Wisconsin Department of Transportation MV3756 12/2006 s.343.69(2) Wis. Stats.

Clear Form

Complete this form only if the issue still remains AFTER you have worked with the driver training school. Attach all evidence which supports this complaint along with a copy of the agreement/contract with the driver training school.
Your Name (Name of Person Filing the Complaint) Address City State ZIP Code County Name of School or Instructor Your Complaint is Against Address City State ZIP Code County

Area Code - Telephone Number - Home Area Code - Telephone Number - Work E-Mail Address Your Relationship to the Student Student - Full Name Area Code - Telephone Number - Student

Hours you may be reached Hours you may be reached

Area Code - Telephone Number - Home Area Code - Telephone Number - Work E-Mail Address Incident Date Birth Date - Student E-Mail Address - Student

Hours you may be reached Hours you may be reached

1. What is the issue? Answer the questions what, when, where, who. Attach a separate sheet if additional space is needed.

2. What has been done to address this issue to date? Be specific.

3. What outcome do you seek?

Submit Completed Form To: Wisconsin Dept. of Transportation PO Box 7920 Madison, WI 53707-7920 FAX: 608- 261-8201
First Contact By/Date

I certify that the information on this form is the truth, as I perceive it, and that all witnesses are aware that they are mentioned in the complaint.

X

(Person Filing the Complaint)

(Date)

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