California Board of Accountancy

Submission Error

201503262031

We apologize! An unknown error has prevented your complaint submission from being uploaded to our server. the details of your complaint have been provided below, so that you may print this page and fax or mail it to the CBA, at the following address:

California Board of Accountancy
Enforcement Division
2000 Evergreen Street, Suite 250
Sacramento, CA 95815-3832

(telephone) (916) 561-1729
(facsimile) (916) 263-3673

Personal Information Collection and Access Notice: The information provided in this form will be used by the California Board of Accountancy (CBA) to follow up on your complaint. Business and Professions Code Sections 325, 326, and 5103 provides the CBA the authority to collect this information. If you do not wish to identify yourself, you may remain anonymous; however, this may limit the CBA's ability to contact you or help you resolve your complaint. Each individual has the right to review his or her personal information records maintained by the CBA, except as otherwise provided by the Information Practices Act. Every effort is made to protect the personal information you provide; however, in order to follow up on your complaint, we may need to share the information with the business you complained about or with other government agencies. This may include disclosing this information in response to a court or administrative order, a subpoena, or a search warrant, or as otherwise permitted by the Information Practices Act. Certain information may be disclosed to a member of the public, upon request, under the California Public Records Act and Information Practices Act.


           


Receipt of Complaint

Your completed Consumer Complaint Form has been successfully transmitted to the California Board of Accountancy (CBA). We will review your transmittal and advise you as to the CBA's jurisdictional authority in this matter.

PLEASE PRINT THIS FORM FOR YOUR RECORDS.

This is your Initial Complaint Referral number: . Please reference this referral number in all communications with the CBA Enforcement Division, regarding this complaint.

If you have supporting documentation to further validate your complaint (engagement letter, tax forms, tax notices, audit reports, financial statements, CPA/PA or firm letterhead, or other correspondence), it is requested that copies of these documents be submitted by mail, fax, or in person, to the CBA office within 30 days.

California Board of Accountancy
Enforcement Division
2000 Evergreen Street, Suite 250
Sacramento, CA 95815-3832

Telephone: (916) 561-1729
FAX: (916) 263-3673

When submitting this additional information, please include a copy of your Receipt of Complaint. This will help to ensure your file is complete and that all documents are included in your file.

Personal Information Collection and Access Notice: The information provided in this form will be used by the CBA to follow up on your complaint. Business and Professions Code Sections 325, 326, and 5103 provides the CBA the authority to collect this information. If you do not wish to identify yourself, you may remain anonymous; however, this may limit the CBA's ability to contact you or help you resolve your complaint. Each individual has the right to review his or her personal information records maintained by the CBA, except as otherwise provided by the Information Practices Act. Every effort is made to protect the personal information you provide; however, in order to follow up on your complaint, we may need to share the information with the business you complained about or with other government agencies. This may include disclosing this information in response to a court or administrative order, a subpoena, or a search warrant, or as otherwise permitted by the Information Practices Act. Certain information may be disclosed to a member of the public, upon request, under the California Public Records Act and Information Practices Act.


           


California Board of Accountancy Consumer Complaint about a Licensee


If you require English language assistance, the CBA can provide interpretive services upon request. For English language assistance, please contact the CBA Enforcement Division by telephone at (916) 561-1705 or by email at enforcementinfo@cba.ca.gov.

Please provide information about the licensed accountant or licensed firm involved in the complaint. If you are filing a complaint about more than one accountant, please submit a separate form for each accountant.

Additional information on filing a complaint with the CBA is also available.


COMPLAINT REGISTERED AGAINST

* Indicates a required field.


COMPLAINANT


Without your personal contact information and ongoing cooperation, we may not be able to pursue your specific complaint.


DETAILS OF COMPLAINT

* Please state the details of your complaint about this licensee, including the reason for the complaint, when the problem first occurred, how you selected the licensee, and the facts of your complaint including relevant dates.

1000 characters remaining (includes spaces)


DOCUMENTATION

* Please describe the documentation you have in support of your complaint (such as an engagement letter, tax forms, tax notices, audit reports, financial statements, CPA or PA letterhead stationery, and correspondence). A print-out of the acknowledgement notice you receive after submitting this form, accompanied by copies of these documents, and any others you believe may pertain to your case, should be submitted by mail or fax, or in person, to the Board's office. Please include the tracking number pertaining to the complaint you have submitted.

1000 characters remaining (includes spaces)


RESOLUTION

* What have you done to resolve your complaint so far?

1000 characters remaining (includes spaces)


ADVISEMENT

* Have you advised the licensee of your complaint?

If No, please explain)

1000 characters remaining (includes spaces)


RESULT

* What do you believe would be a fair settlement or result of your complaint?

1000 characters remaining (includes spaces)


ATTORNEY

Have you contacted an attorney regarding your complaint?

(If Yes, please provide your attorney's name, address, and phone number)

1000 characters remaining (includes spaces)


Review


Please take this opportunity to review your answers. The form can be submitted only once.


Personal Information Collection and Access Notice



The information provided in this form will be used by the CBA to follow up on your complaint. Business and Professions Code Sections 325, 326, and 5103 provides the CBA the authority to collect this information. If you do not wish to identify yourself, you may remain anonymous; however, this may limit the CBA's ability to contact you or help you resolve your complaint. Each individual has the right to review his or her personal information records maintained by the CBA, except as otherwise provided by the Information Practices Act. Every effort is made to protect the personal information you provide; however, in order to follow up on your complaint, we may need to share the information with the business you complained about or with other government agencies. This may include disclosing this information in response to a court or administrative order, a subpoena or a search warrant, or as otherwise permitted by the Information Practices Act. Certain information may be disclosed to a member of the public, upon request, under the California Public Records Act and Information Practices Act.