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Passenger Transportation Complaints

Passenger's Contact Information
* Required fields
Temporary Complaint No. *   (Use last 4 digits of your home telephone number)  
First Name: * 
Last Name: *
Address: *  
City: *
State: *
Zip: *
Daytime No: * (no dashes)
Cell No.:
(no dashes)
Home No.: (no dashes)
Email: *  
Driver and Vehicle Information
Date of Incident: * (xx/xx/xxxx)
Time of Incident: *
Point of Pick Up *   
Destination: *
Driver Name:  
Driver Reg. No.:
Company Name:
(no dashes)
For-Hire Vehicle No.:
Tag No.:
Description of Driver :
Description of Incident *
How would you like your complaint resolved?
You may email this form directly to the Consumer Mediation Center by clicking on Submit. You may also print and fax it to 786-469-2386 or send it by regular mail to the For-Hire Transportation Division, 601 NW 1st Court, 18th Floor, Miami, FL 33136.

By submitting this complaint affidavit I declare, under penalties of perjury, that I have read the foregoing complaint form, that the facts stated in it are true and that any supporting documentation I submit will be copies of genuine documents. I understand further that my complaint is a public record and that a copy of this complaint will be sent to the business/transportation operator for their response.

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Back to Top Page Last Edited: Tue Sep 8, 2015 11:32:38 AM
For-Hire Transportation

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