Form REPL-18-0010 "Cemetery Complaint Form" - Ohio

What Is Form REPL-18-0010?

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

Form Details:

  • Released on October 29, 2018;
  • The latest edition provided by the Ohio Department of Commerce;
  • 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 printable version of Form REPL-18-0010 by clicking the link below or browse more documents and templates provided by the Ohio Department of Commerce.

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Download Form REPL-18-0010 "Cemetery Complaint Form" - Ohio

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Cemetery Complaint Form
Jurisdiction
Ohio Revised Code Chapter 4767 provides the Ohio Cemetery Dispute Resolution Commission with
responsibility over registered cemeteries. The cemetery may be operated by a person, church, religious
society, established fraternal organization or political subdivision. The Commission is vested with the
authority to assist in resolving complaints by the use of informal techniques of mediation, conciliation,
and persuasion. The Division of Real Estate & Professional Licensing provides administrative services
to the Commission.
If a violation of Ohio cemetery law is believed to have been committed, the Division and the Commission
have the authority to make a referral to a prosecutor's office that has jurisdiction over the matter or the
Ohio Attorney General's Office for alleged violations of the Ohio Consumer Sales Practices Act.
Neither the Division nor the Commission has authority to award monetary damages or make burial right
determinations. Any such action must be initiated in a court of law. Additionally, the Division cannot
provide legal advice or opinions. If legal advice is desired, please consult with an attorney.
Filing A Complaint
The Division requires all complaints be filed in written form and signed by the complainant.
Upon receipt of a complete complaint form, the cemetery section reviews the matter to determine if it falls
within the Division’s jurisdiction. For such jurisdiction to exist, the complaint must concern the conduct of a
registered cemetery or a cemetery that is not registered but is required to be registered.
When a case is opened, the Division, within seven days after receiving the complaint, sends written
notice to the owner or person responsible for the operation of the cemetery that is the subject of the
complaint. A letter acknowledging receipt of the complaint is sent to the complainant within 20 days after
receiving the complaint.
Before the Division takes further action, the owner or the person responsible for the operation of the
cemetery has 30 days to respond to the complaint. Any response or offer to resolve the complaint
submitted by the cemetery owner or operator is forwarded to the complainant for response.
The Cemetery Dispute Resolution Commission hears each complaint within 180 days after filing unless
the parties have resolved the complaint prior to the Commission meeting. The Commission, at any time,
may dismiss a complaint if it determines there is not good cause shown for the complaint. If the
Commission dismisses a complaint, it shall notify the person who filed the complaint within 20 days of
reaching its decision and identify the reason why the complaint was dismissed.
Record your complaint on the following form. If accessed online, the form is interactive and you may
record your responses directly onto the form. Complete and sign the form, attach copies (not originals) of
pertinent documents and mail the package to the Division’s office. The Division does not accept electronic
filings.
77 South High Street
614-466-4100
th
20
Floor
Fax 614-644-0584
Columbus, Ohio 43215
TTY/TDD 800-750-0750
Oct. 29, 2018
com.ohio.gov/real
Anne M. Petit, Superintendent
REPL-18-0010
An Equal Opportunity Employer and Service Provider
Cemetery Complaint Form
Jurisdiction
Ohio Revised Code Chapter 4767 provides the Ohio Cemetery Dispute Resolution Commission with
responsibility over registered cemeteries. The cemetery may be operated by a person, church, religious
society, established fraternal organization or political subdivision. The Commission is vested with the
authority to assist in resolving complaints by the use of informal techniques of mediation, conciliation,
and persuasion. The Division of Real Estate & Professional Licensing provides administrative services
to the Commission.
If a violation of Ohio cemetery law is believed to have been committed, the Division and the Commission
have the authority to make a referral to a prosecutor's office that has jurisdiction over the matter or the
Ohio Attorney General's Office for alleged violations of the Ohio Consumer Sales Practices Act.
Neither the Division nor the Commission has authority to award monetary damages or make burial right
determinations. Any such action must be initiated in a court of law. Additionally, the Division cannot
provide legal advice or opinions. If legal advice is desired, please consult with an attorney.
Filing A Complaint
The Division requires all complaints be filed in written form and signed by the complainant.
Upon receipt of a complete complaint form, the cemetery section reviews the matter to determine if it falls
within the Division’s jurisdiction. For such jurisdiction to exist, the complaint must concern the conduct of a
registered cemetery or a cemetery that is not registered but is required to be registered.
When a case is opened, the Division, within seven days after receiving the complaint, sends written
notice to the owner or person responsible for the operation of the cemetery that is the subject of the
complaint. A letter acknowledging receipt of the complaint is sent to the complainant within 20 days after
receiving the complaint.
Before the Division takes further action, the owner or the person responsible for the operation of the
cemetery has 30 days to respond to the complaint. Any response or offer to resolve the complaint
submitted by the cemetery owner or operator is forwarded to the complainant for response.
The Cemetery Dispute Resolution Commission hears each complaint within 180 days after filing unless
the parties have resolved the complaint prior to the Commission meeting. The Commission, at any time,
may dismiss a complaint if it determines there is not good cause shown for the complaint. If the
Commission dismisses a complaint, it shall notify the person who filed the complaint within 20 days of
reaching its decision and identify the reason why the complaint was dismissed.
Record your complaint on the following form. If accessed online, the form is interactive and you may
record your responses directly onto the form. Complete and sign the form, attach copies (not originals) of
pertinent documents and mail the package to the Division’s office. The Division does not accept electronic
filings.
77 South High Street
614-466-4100
th
20
Floor
Fax 614-644-0584
Columbus, Ohio 43215
TTY/TDD 800-750-0750
Oct. 29, 2018
com.ohio.gov/real
Anne M. Petit, Superintendent
REPL-18-0010
An Equal Opportunity Employer and Service Provider
The online form is interactive. You may type your responses
FOR DIVISION USE ONLY
directly onto the form. Otherwise, please print neatly with blue
Complaint Number
Cemetery Reg. Number
or black ink.
Owner Number
Township of Cemetery
This form should be used when filing a complaint for dispute
resolution regarding the activity, practice, policy, procedure, or
Proper Name of Operator
law violation of a cemetery.
Please fill in each field to the best of your knowledge. This
Address of Operator
will help expedite the process.
State the facts clearly and briefly. An investigator will follow
City
State
ZIP Code + 4
up with you if any clarification is needed.
Furnish the full names, addresses and phone numbers of all
NOTE: This complaint will become public record. A
parties to the complaint, including witnesses.
copy will be given to the party against whom the
Print the form. Sign and date the form at the bottom.
complaint is filed. Persons who file complaints will
be notified to appear before the Ohio Cemetery
Attach copies (not originals) of all pertinent documents
Dispute Resolution Commission if the complaint is
listed above.
not resolved. The Commission has no authority to
Mail To: Division of Real Estate & Professional Licensing,
award monetary damages or determine burial rights.
77 S. High Street, 20th Floor, Columbus, OH 43215.
Complainant Information
Your Full Name (Identifies You as Complainant)
Email Address
Home Phone
Cell Phone
Home Address
City
County
State
Zip Code + 4
Business Name
Business Phone
Fax Number
Business Address
City
County
State
Zip Code + 4
espondent Information (Against Whom This Complaint Is Being Filed)
R
Cemetery Owner/Operator Full Name (Identifies
Email Address
Business Phone Cell Phone
Respondent)
Cemetery Name
Fax Number
Cemetery Address
Township of Cemetery
City
County
State
ZIP Code + 4
Cemetery Mailing Address (Line 1) If Different from Above Address
Business Phone
Cemetery Mailing Address (Line 2)
Business Fax
City
County
State
ZIP Code + 4
Name(S) Of Any Cemetery Employee(S) With Whom You Have Dealt
Employee 1
Employee 2
Employee 3
Employee 4
Employee 5
Employee 6
NOTICE: Section 2921.13 of the Ohio Revised Code makes the providing of a false statement to a government official
or public agency subject to criminal sanctions.
Division of Real Estate &
Oct. 29, 2018
REPL-18-0010
Professional Licensing
Complaint
Have you included any documents pertaining to the complaint? Yes
No
Are you an owner of grave
Description of Space
Date of Acquisition
spaces, mausoleums, crypts or
nitches in the cemetery?
Yes
No (If Yes, complete
the adjacent fields)
Have you consulted an
Attorney Name
Phone Number
(
)
attorney regarding your
complaint?
Attorney Address
Fax Number
Yes
No (If yes,
(
)
complete the adjacent fields)
City
State
ZIP Code + 4
Have any claims been filed
Name of Court (e.g. Franklin
Name of Case
Docket Number
in a court of law?
County)
Yes
No (If Yes, complete
Court Of Common
the adjacent fields)
Pleas)
Prior Notification
Have you previously notified the respondent of your complaint?
If yes, in what form was your notification?
Yes
No
Oral
Written (If written, include a copy)
Did you receive a response?
If yes, in what form was the response?
Yes
No
Oral
Written (If written, include a copy)
If response was oral, what was the response?
Description of Complaint
In the form of a brief statement, give the details of your complaint. Be factual and complete. Attach additional sheets if
necessary.
What would you consider a reasonable resolution to your complaint?
Affirmation
I affirm that the information provided
Signature of Complainant
Date
within, and attached hereto, this
complaint is complete and accurate.
Division of Real Estate &
Oct. 29, 2018
REPL-18-0010
Professional Licensing
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