State Regulatory Board · Submission Record
Consumer reports receiving services from an individual who is not licensed by the board. Services were rendered on March 28, 2024. Consumer has provided receipts and communications as evidence.
This narrative was submitted directly by the licensee in a structured format. No reconstruction by staff was required.
| Document Label | Filename | Logged |
|---|---|---|
| Complaint Form | consumer_complaint_form.pdf | 2024-04-04 08:45 |
| Supporting Evidence | receipts_evidence.pdf | 2024-04-04 08:45 |
This record was generated from structured intake fields submitted through Civic Tide Licensing. No manual reconstruction was required. All documents are labeled as submitted.
Civic Tide Licensing · State Regulatory Board · SUB-2024-0038 · Confidential