StateProtestForm

Online Protest Form

Fill out the form below to file your protest. Please note that you must complete all the required fields (*) in order for your protest to be accepted. If you plan to submit supporting documentation, it must be submitted with this form. Allow 3 to 5 business days for processing.

Carefully review the form before submitting it to ensure that all the information, including supporting documentation, is complete and accurate. The information you submit will be used by the claiming agency to adjudicate your protest.

Protests are public records which are subject to the Freedom of Information Act (FOIA), just like other public records. If we receive a request for copies of protests and supporting documents, we may be required to provide a copy of your protest to the requestor. However, information that would reveal your identity as a protestor is exempt from disclosure and will be redacted from copies that we provide, allowing the requestor to read your protest without compromising your privacy.

First Name *

Middle Initial

Last Name *

Phone Number *

Business Name

Social Security Number (SSN)/FEIN Number (Last 4 digits) *

IW Number *

Current Address

Street Address *

Street Address 2 (Optional)

City *

State *

ZIP Code *

Reason for Protest * 1000 Character(s) Remaining

You may add up to five documents to support your protest. Only pdf, jpg or png file types are accepted. No Microsoft documents (word, excel, etc.) are allowed, but they may be converted to pdf, scanned or photographed. Driver's license, State ID Card, Passport, or other picture identification with signature and date of birth, property deed, court order, or proof of sale, and any other documentation that supports your protest may be uploaded.

Document 1