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Ombudsman to the Crime Lab
Express Your Concern
Express Your Concern
Use this form to share your concern with the Ombudsman to the State Crime Laboratory
* indicates a mandatory field
Your Information
Prefix:
Select
Mr.
Mrs.
Ms.
First Name:
Middle Initial:
Last Name:
Mailing Address:
* City:
* State:
Zip Code:
Phone Number ( including area code):
(
)
-
Second part
Third part
Fax Number ( including area code):
(
)
-
Second part
Third part
County of Residence:
Email Address:
All issues brought to the attention of the Office of the Ombudsman in written form may be subject to the NC Public Records law, though issues are explored in as informal and confidential manner as possible. Therefore, you may express your concern without sharing your name.
Nature of your concern (complete any blocks which apply)
Relationship to State Crime Lab:
Select
Accused
Attorney for Accused
Family Member of Accused
Victim of Crime
Concerned Citizen
Lab Employee
Other (please specify)
If Other Explain:
Date of Event:
Date and time
Now
Details of Concern
* Details:
Limit of 2000 Characters
Do you wish to be contacted regarding your concern?:
No
Yes
If the complaint falls within the jurisdiction of another local, state or federal agency, we may refer your complaint to that agency. The fact that we may not be able to assist you directly does not mean your complaint isn’t valid.
Resolution Attempts You Have Made
Have you shared your concerns with the State Crime Lab?:
No
Yes
If so, what was the result of your contact?:
* What resolution would you consider fair?:
* Will you be submitting documentation by mail, email or fax?:
No
Yes
Enter security code:
If you wish to provide up to four supporting documents, you may send them to us in one of the following ways:
·
Facsimile (919) 716 - 0803
·
Email -
ombudsman@ncdoj.gov
(pdf, doc, docx or txt format)
·
Mail - Office of the Ombudsman, NC Attorney General’s Office
9001 Mail Service Center
Raleigh, NC 27699-9001
Please include your concern receipt number in the subject or reference line of your email, fax or mailing so that we may match your documents with your concern.
Please print a copy of your completed form to mail in with any supporting documents and keep a copy for your records. Please note that the printed copy may not include all of the information included in the details of complaint box.