N.H. Admin. Code § Rko 203.05 - Complaints
(a) Complaints and any attachments thereto
shall be written in typescript or clearly printed in ink.
(b) A claimant may submit a complaint to the
ombudsman by using a complaint form which is available from the
office.
(c) Whether or not using
the form provided by the office, a claimant shall provide the following
information in their complaint:
(1) The
claimant's first, middle, and last name;
(2) The claimant's address;
(3) The claimant's preferred mailing address,
if different from (c) (2) above.
(4) The claimant's telephone
number;
(5) The claimant's e-mail
address, if any;
(6) A
specification of whether the claimant's anticipated representative in the case
is:
a. The claimant personally;
b. Another person;
c. Not known at the time of the
filing;
(7) Whether the
person has attached to the complaint an appearance as described in Rko 207.02,
and if not, why not;
(8) The name
and address of the entity against which the claimant is making the claim,
including the particular department, division, or office of the respondent with
which the claimant has to date been communicating about the matter at
issue;
(9) A brief written
description of the claim;
(10) An
identification of each of the following topics that the claimant believes best
synopsizes the nature of the claim:
a. Failure
to respond;
b. Unreasonable
delay;
c. Improper claim of
exemption from disclosure;
d.
Unreasonable cost;
e. Improper
meeting; or
f. Another issue,
identifying that issue;
(11) A statement of whether or not the filing
fee required by RSA
91-A:7-b has been filed along with the
complaint and, if not, why not;
(12) A statement of whether a written request
was made to the respondent and, if so:
a.
Whether a copy of that written request has been attached to the complaint,
and:
b. If not, why
not;
(13) A statement of
whether the public agency or official that is the subject of the complaint
provided a written response to the request identified in (9) above, and if a
written response was provided:
a. Whether it
has been attached to the complaint; and
b. If not, why not;
(14) If applicable, an identification of the
documents, if any, that the claimant is requesting from the respondent at the
time of the filing of the complaint;
(15) A statement of the date of the
claimant's last communication about the matter at issue with the respondent,
together with the name of the person with whom the claimant communicated, if
known;
(16) A statement of the
specific action or actions that the claimant wishes the ombudsman to take in
regard to their claims against the respondent;
(17) A statement that:
a. The claimant understands that the
submission of the complaint to the ombudsman forecloses the ability to petition
the New Hampshire superior court about the matter until the ombudsman issues a
final ruling or the deadline for such ruling has passed;
b. The claimant understands that if they make
a false statement in the complaint, that they do not believe to be true, such
false statement may be punishable by law; and
c. The statements made in the complaint are
true and accurate, to the best of the claimant's knowledge and
belief.
(d)
Complaints shall:
(1) State the date of
execution of the complaint;
(2) Be
signed by the claimant; and
(3)
State the claimant's name in print.
Notes
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