Uniform Complaint Form Instructions – Real Estate
Revised 0608
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
Uniform Complaint Form (RE 2200) Instructions
All complaints must be submitted in writing to:
Attention: Consumer Complaints Section
DBPR - Division of Real Estate
400 West Robinson Street, Suite N801
Orlando, FL 32801-1757
The Division of Real Estate administers the provisions of
Chapter 475, Florida Statutes, relating to sales
associates, brokers, and real estate appraisers who hold Florida real estate and/or appraisal licenses.
Pursuant to Section
455.225, Florida Statutes, a complaint is legally sufficient if it contains ultimate facts
that show that a violation of this chapter, of any of the practice acts relating to the professions regulated
by the department, or of any rule adopted by the department or a regulatory board in the department, has
occurred. The department may investigate, and the department or the appropriate board may take
appropriate final action on, a complaint even though the original complainant withdraws it or otherwise
indicates a desire not to cause the complaint to be investigated or prosecuted to completion.
Please provide all relevant documentation with this complaint form. All relevant documentation includes,
but is not limited to, copies of the following:
Sales Contract (Front & Back)
Canceled Checks (Front & Back)
Lease/Rental Agreements (Front & Back)
Listing/Management Agreements (Front & Back)
Closing Statement
Multiple Listing Printout
Appraisals
Repair Bills
Monthly Statements
Correspondence
Agency Disclosure Form
Judgement/Civil Law Suit
Please send legible copies of your supporting documents. We are unable to return original
documents to you.
Should additional documentation be requested and not received by this department within thirty (30) days
of the request, the file may be closed.
Pursuant to
Chapter 455, Florida Statutes, the complaint and all information obtained pursuant to the
investigation is confidential until 10 days after probable cause is found to exist. Investigations differ in
complexity and duration, so providing a time of completion is not possible. We appreciate your
cooperation and understanding in this matter.
RE 2200 – Uniform Complaint Form – Real Estate
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
Please submit to address on last page.
TO ENSURE THE PROPER PROCESSING OF YOUR COMPLAINT, PLEASE CHECK THE
APPLICABLE BOX:
UNLICENSED ACTIVITY
ESCROW DEPOSIT
PROPERTY MANAGEMENT
APPRAISAL
OTHER -
COMPLAINANT INFORMATION
Last Name First Middle Title Suffix
Your Company/Occupation
MAILING ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Primary E-Mail Address
Unlicensed Activity Complaint? Yes No Unknown
COMPLAINT DESCRIPTION
Attach additional sheets as necessary.
Revised 0608
RE-2200 Uniform Complaint Form
CONTACT PERSON (IF OTHER THAN YOURSELF)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Primary E-Mail Address
PRIVATE ATTORNEY FOR COMPLAINANT (IF APPLICABLE)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
SUBJECT OF COMPLAINT
Last Name First Middle Title Suffix
License Number (if known)
Company/Occupation
MAILING ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Primary E-Mail Address
RESIDENCE ADDRESS (IF DIFFERENT THAN MAILING ADDRESS)
Street Address
City State Zip Code (+4 optional)
County (if Florida address) Country
Revised 0608
RE-2200 Uniform Complaint Form
Revised 0608
PRIVATE ATTORNEY FOR SUBJECT OF COMPLAINT (IF APPLICABLE)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
WITNESS (IF APPLICABLE)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
WITNESS (IF APPLICABLE)
Last Name First Middle Title Suffix
ADDRESS
Street Address or P.O. Box
City State Zip Code (+4 optional)
County (if Florida address) Country
CONTACT INFORMATION
Primary Phone Number Alternate Phone Number
I affirm that I have provided the above information completely and truthfully to the best of my
knowledge.
Complainant Sign Here: Date:
Please mail the completed Uniform Complaint Form to the address below:
Division of Real Estate
400 West Robinson Street
Suite N801
Orlando, Florida 32801
RE-2200 Uniform Complaint Form
