Record of Complaint

The Board investigates complaints against OTs and OTAs alleged to have violated North Carolina General Statute 90, Article 18D, the North Carolina Board of Occupational Therapy Practice Act, and North Carolina Administrative Code, Title 21, Chapter 38, the Rules and Regulations of the Board. If the Board determines that an OT or OTA has violated the statutes or rules, the Board may impose disciplinary action on the OT or OTA. The Board does not intervene in fee disputes nor does the Board have the authority to order monetary damages. If you have these concerns, you should consult an attorney. If you prefer to file your complaint by mail, please use this form.

Step 1 of 5 - Complainant Information

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Complainant (person filing the complaint)

Prefix*

First*

Last*

Phone Number*

Email*

Complainant Mailing Address

Street Address*

Address Line 2

City*

State*

ZIP Code*

Would you prefer to correspond with the Board via mail or email?*

Are you represented by an attorney in this matter?*

Is there a pending or completed lawsuit regarding your complaint?*

Attorney's Name