(a) Any complaint made against a licensee shall be made in writing on a complaint form provided by the Board, signed by the complainant, and shall include the following information: - (i) Name, address, place of employment and position of the individual believed to have violated the Board's Practice Act or its rules and regulations;
- (ii) The nature of the complaint and a description of the incident(s) involved, including date(s), time(s), and location(s) and any other relevant information which substantiates an infraction of the Board's Practice Act or its rules and regulations;
- (iii) The available names, addresses and phone numbers of other witnesses;
- (iv) The available written and verbal statements of other witnesses; and
- (v) The signature, address and phone number of the person making the complaint.
(b) The receipt of a complaint and the initiation of an investigation shall be acknowledged in writing to both the complainant and licensee by the Board. The complainant and the licensee will be informed of the ultimate disposition of the complaint.