What does the Ulster County Electrical Licensing Board Complaint Form ask for?

It asks for the complainant’s contact information, business name, property address, date of the alleged incident, and complaint details.

Who can submit this complaint form?

A person who wants to submit a complaint about work being done at a property can complete the form and return it to the Ulster County Electrical Licensing Board.

Do I need a notary for the Ulster County Electrical Licensing Board Complaint Form?

No. The form requires the complainant’s signature and date, but does not require notarization or identify a notarized or sworn attachment.

How do I submit the Ulster County Electrical Licensing Board Complaint Form?

Complete and sign the form, then return it to the Board at 313 Shamrock Lane, Kingston, NY 12401.

Ulster County, NY · Ulster County

No notary required

Electrical Licensing Board Complaint Form

This form lets a person submit a complaint to the Ulster County Electrical Licensing Board about work at a property and an alleged incident.

At a glance

Issued by: City of Ulster County · Ulster County, Ulster County, New York
Notarization: Not required: file this form without a notary.
Official source: ulstercountyny.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this form to submit a complaint to the Ulster County Electrical Licensing Board about work being done at a property. It asks for the complainant’s name, address, business name, phone number, email, the property address, and the date and details of the alleged incident. The complainant must sign and date the form before returning it.

Who needs it

A person who wants to submit a complaint about electrical work or an alleged incident at a property can use this form.

How to submit it

Complete and sign the form, then return it to the Ulster County Electrical Licensing Board at 313 Shamrock Lane, Kingston, NY 12401.

About notarization

This complaint form is signed and dated without a notary; it does not identify any notarized or sworn attachment.

How to submit this form

1
Download the Form
Download the Ulster County Electrical Licensing Board Complaint Form.
2
Complete the Form
Fill in your contact details, the property address, the date of the alleged incident, and your complaint.
3
Sign and Date
Add the complainant’s required signature and the date.
4
Return the Form
Return the completed form to 313 Shamrock Lane, Kingston, NY 12401.

Frequently asked questions

What does the Ulster County Electrical Licensing Board Complaint Form ask for?: It asks for the complainant’s contact information, business name, property address, date of the alleged incident, and complaint details.
Who can submit this complaint form?: A person who wants to submit a complaint about work being done at a property can complete the form and return it to the Ulster County Electrical Licensing Board.
Do I need a notary for the Ulster County Electrical Licensing Board Complaint Form?: No. The form requires the complainant’s signature and date, but does not require notarization or identify a notarized or sworn attachment.
How do I submit the Ulster County Electrical Licensing Board Complaint Form?: Complete and sign the form, then return it to the Board at 313 Shamrock Lane, Kingston, NY 12401.

Need something notarized?

This Electrical Licensing Board Complaint Form doesn’t need a notary, but if you have another Ulster County form that does, a commissioned online notary can help.