NTA GENERAL COMPLAINT FORM

COMPLAINANT INFORMATION

*NAME (LAST, FIRST, MI): 

ADDRESS: 

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ALTERNATE PHONE NUMBER: 

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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.

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