NEVADA TRANSPORTATION AUTHORITY

GENERAL COMPLAINT 

 

 

COMPLAINANT INFORMATION 

*NAME (LAST, FIRST, MI): 

ADDRESS: 

CITY   *STATE  

ZIP: 

*PHONE: 

CELL PHONE: 

ALTERNATE PHONE NUMBER: 

EMAIL ADDRESS: 


DETAILS OF COMPLAINT

  • PLEASE PROVIDE A DETAILED STATEMENT REGARDING YOUR COMPLAINT
AND THE NATURE OF THE RELIEF SOUGHT.

  • DO NOT OMIT ANY FACTS, AS ALL INFORMATION MAY BE RELEVANT TO OUR
INVESTIGATION.
  • EMAIL ANY DOCUMENTATION WHICH MAY SUPPORT YOUR CLAIM
(PHOTOS, INVOICES, ETC.) TO NTA@NTA.NV.GOV 
 
 
 


 

THE NEVADA TRANSPORTATION AUTHORITY (NTA) WILL NOT PROCESS ANY UNSIGNED, INCOMPLETE, OR ILLEGIBLE COMPLAINT FORMS

 

I hereby affirm under penalty of perjury that I am an adult, 18 years of age or older, that I have personal knowledge of this matter stated herein, and that the assertions contained in this complaint are true.

 

Electronic Signature

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  I understand that checking this box constitutes a legal signature confirming that the information provided herein is true and accurate.


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