"Contact and Complaint Form - Common Interest Community" - Delaware

This "Contact and Complaint Form - Common Interest Community" is a Delaware-specific form released by the Delaware Department of Justice on October 12, 2015.

Download the form by clicking the link below, fill it out by hand, and mail it as per the guidelines provided by the department or the applicable legal instructions.

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Download "Contact and Complaint Form - Common Interest Community" - Delaware

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RETURN THIS FORM TO:
FOR OFFICIAL USE:
(Devuelva Este Formulario a):
(Para Uso Oficial)
OFFICE OF COMMON INTEREST COMMUNITY OMBUDSMAN
DEPARTMENT OF JUSTICE
CIC#:____________________
  
 
 
 
 
   
STATE OF DELAWARE
(Caso No)
820 N. FRENCH STREET, 5
FLOOR
TH
WILMINGTON, DE 19801
Phone: (302) 577‐8600 or 1‐800‐220‐5424
(Teléfono)
Fax: (302) 577‐6499
Email: CIC.OmbudsmanDOJ@state.de.us
(Correo electronico)
 
*
COMMON INTEREST COMMUNITY – CONTACT and COMPLAINT FORM
(Declaración de Querella)
 
Your Name:
Name of Person or Business Complaint is Against:
(Nombre de Persona o Empresa):
(Su Nombre):
 
__________________________________________
___________________________________________
Your Home Address:
Location:
(Ubicación):
(Su Dirección):
 
__________________________________________
___________________________________________
Number and Street (Número y Calle)
Number and Street (Número y Calle)
 
__________________________________________
___________________________________________
City (Ciudad)
Development (Urbanización)
 
__________________________________________
__________________________________________
State and Zip Code (Estado Y Código Postal)
City (Ciudad)
 
__________________________________________
State and Zip Code (Estado y Código Postal)
Phone Number (s) (Teléfono): _________________
 
Phone Numbers (Teléfonos):
Email Address (Correo Electrónico): _________________________________
Home (Hogar):
 
Work (Trabajo):
Email Address (Correo Electrónico):
 
*DO NOT FILE A COMPLAINT UNLESS YOU HAVE COMPLETED THE INTERNAL DISPUTE RESOLUTION PROCESS (IDR)*
 
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OFFICE of the COMMON INTEREST COMMUNITY OMBUDSPERSON
ev. 10‐12‐15 
CONTACT and COMPLAINT FORM, Page 1
RETURN THIS FORM TO:
FOR OFFICIAL USE:
(Devuelva Este Formulario a):
(Para Uso Oficial)
OFFICE OF COMMON INTEREST COMMUNITY OMBUDSMAN
DEPARTMENT OF JUSTICE
CIC#:____________________
  
 
 
 
 
   
STATE OF DELAWARE
(Caso No)
820 N. FRENCH STREET, 5
FLOOR
TH
WILMINGTON, DE 19801
Phone: (302) 577‐8600 or 1‐800‐220‐5424
(Teléfono)
Fax: (302) 577‐6499
Email: CIC.OmbudsmanDOJ@state.de.us
(Correo electronico)
 
*
COMMON INTEREST COMMUNITY – CONTACT and COMPLAINT FORM
(Declaración de Querella)
 
Your Name:
Name of Person or Business Complaint is Against:
(Nombre de Persona o Empresa):
(Su Nombre):
 
__________________________________________
___________________________________________
Your Home Address:
Location:
(Ubicación):
(Su Dirección):
 
__________________________________________
___________________________________________
Number and Street (Número y Calle)
Number and Street (Número y Calle)
 
__________________________________________
___________________________________________
City (Ciudad)
Development (Urbanización)
 
__________________________________________
__________________________________________
State and Zip Code (Estado Y Código Postal)
City (Ciudad)
 
__________________________________________
State and Zip Code (Estado y Código Postal)
Phone Number (s) (Teléfono): _________________
 
Phone Numbers (Teléfonos):
Email Address (Correo Electrónico): _________________________________
Home (Hogar):
 
Work (Trabajo):
Email Address (Correo Electrónico):
 
*DO NOT FILE A COMPLAINT UNLESS YOU HAVE COMPLETED THE INTERNAL DISPUTE RESOLUTION PROCESS (IDR)*
 
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OFFICE of the COMMON INTEREST COMMUNITY OMBUDSPERSON
ev. 10‐12‐15 
CONTACT and COMPLAINT FORM, Page 1
INSTRUCTIONS
 
PLEASE READ THROUGH THIS FORM CAREFULLY, BEFORE STARTING
 
Definition: The term “Community” and “common interest community” mean the same thing in this
Form. The Community includes you if you are:
 
An owner of a Unit of real estate, and
o your Unit is in a planned community, planned development, condominium, cooperative, or
maintenance corporation;
o your Community is subject to a plan described in the governing documents of your
Community, (such as a Declaration, deed restrictions, Bylaws or rules) and
o because of your ownership, you are obligated to pay a share of taxes, insurance and other
costs; and
o the costs are for funding, managing and supervising common areas that are available to all
members of the Community, such as parks, pools, playgrounds, club houses, open spaces,
private streets, etc.
 
The Community also includes:
The Developer, also known as the “Declarant;” and
Your neighborhoods’ governing Association, no matter what is called, for example:
o Planned community association or council;
o Homeowners association or council;
o Condominium association or council;
o Cooperative association or council;
o Community maintenance corporation, association or council; or
o Other similar organization, no matter how it is named.
Any other interested party.
 
1.
You may Contact the Office of the Ombudsperson to make an INQUIRY;
a REQUEST FOR SERVICE; or submit a COMPLAINT if you are:
a Unit Owner in your Community, or
a Declarant; or
a Community Association member; or
an executive board of a Community Association; or
any other interested party;
and your complaint concerns potential violations of the law, Bylaws, Rules, regulations, or
documents governing your Community.
 
2. DO NOT FILE A COMPLAINT BEFORE YOU COMPLETE THE INTERNAL DISPUTE RESOLUTION
PROCESS of your Community’s Association or one established by the Ombudsperson. This is
required by the Ombudspersons Act. You must include a copy of the final determination of the
Association with the Complaint that you wish to file with the Ombudsperson, AND a $35 Filing Fee
Payable to “DOJ-CICOmbudsman”.
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OFFICE of the COMMON INTEREST COMMUNITY OMBUDSPERSON
ev. 10‐12‐15 
CONTACT and COMPLAINT FORM, Page 2
3. You must also attach to your INQUIRY, REQUEST FOR SERVICES, or COMPLAINT:
 
a. the Declaration or deed restrictions creating your Community,
b. the Bylaws of your Community, and
c. the Rules of your Community and
d. any other document or evidence supporting your Inquiry, Request For Service, or Complaint.
 
4. The Ombudsperson is not the attorney for: You, Unit Owners, Declarants, Community Associations,
the executive board of a Community Association, or any other interested parties.
 
No attorney-client relationship is implied or created by the Ombudsperson's contact with
you or any person, and the Ombudsperson may not act as your attorney in a legal action
brought by you or any other person.
 
The Office of the Attorney General and the Office of the Ombudsman cannot provide
legal advice, or legal interpretation. We can only provide general, nonbinding
explanations of laws and regulations governing common interest communities.
 
The goal of the Office, and its statutory responsibility is to:
 
o educate the public;
o direct you to available Community resources;
o review final adverse decisions from your Association; and
o help unit owners and associations avoid lawsuits and resolve problems
informally, through meetings, mediation or arbitration.
 
The Office and the Ombudsperson cannot, however, replace the services of an attorney
representing a unit owner’s or Association’s particular interest.
 
 
 
5. Please attach COPIES, not originals, of all papers that relate to your Inquiry, or
Complaint, including REQUIRED INFORMATION as well as papers such as Notices,
advertisements, photographs, contracts, receipts, bills, cancelled checks, written
agreements, letters or emails. (Envie copias, no originales, de todos los documentos en
relación con esta querella, inclusive contratos, fracturas, recibos, cheques cancelados, cartas
o correo electrónico).
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OFFICE of the COMMON INTEREST COMMUNITY OMBUDSPERSON
ev. 10‐12‐15 
CONTACT and COMPLAINT FORM, Page 3
REQUIRED INFORMATION 
 
The Common Interest Community Ombudsperson Law (29 Del C. §2945) requires that you
provide the following information:
 
1. Are you a person or one of the following types of organizations? Check all that apply:
[ ] A Unit Owner (a homeowner) in a Community?
[ ] A person, or family member who owns a residence in a planned Community?
 
[ ] A “Declarant” (or developer) who still owns a Unit that is created by the Declaration or deed
restrictions (the Governing documents)?
[ ] A person leasing a unit; and all of the following are true:
 
 your lease will expire when your landlord’s lease expires; and
 your lease is longer than 20 years, and
 your lease is not for a membership campground?
[ ] A Declarant?
 
[ ] A Community Association?
[ ] The executive board of a Community Association?
 
[ ] A member or representative of the executive board of a Community association?
[ ] A person otherwise interested? If so, please describe your interest:
 
 
 
2. Reason You Are You Contacting the Office of the Ombudsperson:
 
[ ] To make an INQUIRY? If so, please state your inquiry and its surrounding circumstances in
the “Narrative” section of this form. Please keep in mind that the Office of the Attorney General
and the Office of the Ombudsman cannot provide legal advice, but can only provide general
nonbinding explanations of laws and regulations and documents, governing common interest
communities. There is a fee of $35 to file an Inquiry.
 
[ ] To REQUEST SERVICES? The following services are authorized by the Law:
 
[ ] Provide election monitors and vote counting for fair Community Association
elections? (Requires 15% of the voting interests, or 6 Unit Owners, whichever is greater, and a
fee.)
 
 
[ ] Provide assistance in understanding the rights, responsibilities and processes
available to you through general, nonbinding explanations of laws, regulations, and governing
documents governing common interest communities, in general terms, that does not require
review of your governing documents.
 
 
[ ] Conduct a meeting to educate Community members about their rights and
responsibilities, and the processes available under law, regulations, and rules.
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OFFICE of the COMMON INTEREST COMMUNITY OMBUDSPERSON
ev. 10‐12‐15 
CONTACT and COMPLAINT FORM, Page 4
[ ] Provide meetings, mediation, arbitration, or other forms of alternative dispute
resolution as requested for disputes other than Complaints. There is a filing fee of $35,
and fees for the mediators time and expenses.
 
 
[ ] Describe any other service you seek. We will review your request and determine
whether it is within the authority of the Office of the Ombudsperson or other unit or agency.
 
 
 
[ ] To file a COMPLAINT that has been through your Community Association’s or the
Ombudsperson’s Internal Dispute Resolution Process? Attach a copy of the Association’s Final
Decision, or statement that the request was ignored. Are you seeking:
 
 
[ ] Meeting or Conciliation?
[ ] Mediation?
[ ] Arbitration that is binding?
[ ] Arbitration that is non-binding?
[ ] Other? Please describe:
ATTACH A CHECK FOR THE FILING FEE OF $35.00 PAYABLE TO “DOJ‐CIC OMBUDSMAN” 
 
3. Please provide the following information required by the Ombudsperson’s Law:
(1) Contact information for the Community Association:
Name of Association:
Contact person:
Address:
Telephone:
Mobile:
Fax:
Email:
Any Other Contact information:
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OFFICE of the COMMON INTEREST COMMUNITY OMBUDSPERSON
ev. 10‐12‐15 
CONTACT and COMPLAINT FORM, Page 5
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