Form DBO-803 "Comments or Complaints Regarding Dbo Performance" - California

What Is Form DBO-803?

This is a legal form that was released by the California Department of Business Oversight - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2020;
  • The latest edition provided by the California Department of Business Oversight;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DBO-803 by clicking the link below or browse more documents and templates provided by the California Department of Business Oversight.

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Download Form DBO-803 "Comments or Complaints Regarding Dbo Performance" - California

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STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
DBO-803 (Rev. 08-20)
COMMENTS OR COMPLAINTS REGARDING DBO PERFORMANCE
(The Citizen Complaint Act of 1997, California Government Code Sections 8330-8332,
requires that all state agencies provide a method or form on the Internet through which
individuals can register complaints or comments relating to the performance of that
department/agency.)
PLEASE NOTE: This form is for comments pertaining to the Department of Business
(DBO) performance only. Complaints or comments regarding DBO licensees and
financial services licensees should be filed through this link:
http://www.dbo.ca.gov/Consumers/consumer_services.asp
or by calling 1-866-275-2677.
The Department respectfully requests the information in this form to register and
respond to your comment or complaint about DBO performance. Thank you for
your feedback.
(Please print or type)
Last Name:
First Name:
Address:
City:
State:
Zip:
(
)
Home Phone:
(
)
Business Phone:
Email:
Your prior contact with the DBO was by (check all that apply):
Phone
In person
In writing
E-mail
Other (please specify)
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
DBO-803 (Rev. 08-20)
COMMENTS OR COMPLAINTS REGARDING DBO PERFORMANCE
(The Citizen Complaint Act of 1997, California Government Code Sections 8330-8332,
requires that all state agencies provide a method or form on the Internet through which
individuals can register complaints or comments relating to the performance of that
department/agency.)
PLEASE NOTE: This form is for comments pertaining to the Department of Business
(DBO) performance only. Complaints or comments regarding DBO licensees and
financial services licensees should be filed through this link:
http://www.dbo.ca.gov/Consumers/consumer_services.asp
or by calling 1-866-275-2677.
The Department respectfully requests the information in this form to register and
respond to your comment or complaint about DBO performance. Thank you for
your feedback.
(Please print or type)
Last Name:
First Name:
Address:
City:
State:
Zip:
(
)
Home Phone:
(
)
Business Phone:
Email:
Your prior contact with the DBO was by (check all that apply):
Phone
In person
In writing
E-mail
Other (please specify)
STATE OF CALIFORNIA –DEPARTMENT OF BUSINESS OVERISGHT
COMMENTS OR COMPLAINTS REGARDING DBO PERFORMANCE
DBO-803 (Rev. 08-20) Page 2 of 3
Please describe your comment or complaint about the Department of Business
Oversight in detail. Give the date, the name of the person, if applicable, that was
involved and any information (i.e., where, what, how) that will help us respond to or
.
resolve your comment or complaint
ask.dbo@dbo.ca.gov
Please send your completed form to
or mail to: California
Department of Business Oversight, 2101 Arena Blvd, Sacramento, CA 95834,
ATTN: DBO Ombudsman.
Once the comment or complaint is received, it will be reviewed and you may be
contacted for further information.
STATE OF CALIFORNIA –DEPARTMENT OF BUSINESS OVERISGHT
COMMENTS OR COMPLAINTS REGARDING DBO PERFORMANCE
DBO-803 (Rev. 08-20) Page 3 of 3
DBO’s Privacy Notice on Collection
DBO Collects and Uses Personal Information: The DBO collects the information
requested on this form as authorized by Government Code section 8330, et seq. The
DBO uses this information to respond to comments pertaining to DBO’s performance.
Use of the personal Information DBO collects is subject to limitations contained in the
Information Practices Act of 1977 and other applicable state and federal laws.
Providing Personal Information Is Voluntary: You do not have to provide the personal
information requested. If you do not want to provide personal information, such as your
name, home address or home telephone number, you may remain anonymous.
However, we may not be able to contact you or help resolve your issue.
DBO May Disclose Your Personal Information: We may share your personal
information with other state departments. Your personal information may also be
disclosed:
• In response to a Public Records Act request, as allowed by the Information
Practices Act.
• To another governmental agency as required by state or federal law.
• In response to a court order or administrative order, a subpoena or a search
warrant.
Your Access to Your Personal Information: You may review the records maintained
by DBO that contain your personal information. To request access, contact: DBO
Privacy Officer, 2101 Arena Blvd, Sacramento, CA 95834, (866) 275-2677.
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