WESTCHESTER COUNTY FAIR CAMPAIGN PRACTICES COMMITTEE

COMPLAINT FORM
(revised Oct. 2, 2009: note Committee Coordinator's new address)
http://www.faircampaignpractices.org/fcpccomplaintform.html

Please print out and send to:
Westchester County Fair Campaign Practices Committee
Attn: Miriam Cohen, 14 North Chatsworth Ave., Apt. 3E, Larchmont, NY 10538
Phone: (914) 834-0615; Email: faircampaign@optonline.net

FROM:
Name of candidate: _________________________________________________

Address: _________________________________________________________

Phone: ____________________________ Fax: __________________________

Email address __________________________________Date_______________

Candidate for: _____________________________________________________
(office, district, jurisdiction)

I HEREBY MAKE A COMPLAINT OF UNFAIR CAMPAIGN PRACTICES AGAINST:

Name of person/group: ______________________________________________

Address: _________________________________________________________

_________________________________________________________________

Phone: (mandatory)_________________________ Fax: _______________________

Email address: (mandatory) ___________________________Date________________

Candidate for: _____________________________________________________
(office, district, jurisdiction)

DESCRIPTION OF UNFAIR PRACTICE: On a separate piece of paper, briefly describe what you claim is an unfair practice. Include documentation, such as newspaper ad or campaign brochure, radio or TV script (station, date, time aired), public statement. Do not include videos. (Westchester County Fair Campaign Practices Committee has no audio-visual resources for use during hearings.) Complaints must be concise enough to be presented during the ten-minute time allotted at the hearing. Complaints must be signed by the candidate.

back to Filing Procedures Page      (http://www.faircampaignpractices.org/fcpcprocedures.html))
back to FCPC Manual  (http://www.faircampaignpractices.org/fcpcmanual.html)
Back to FCPC home page (http://www.faircampaignpractices.org/index.html)
To Guidance for Candidates page (http://www.faircampaignpractices.org/fcpcguidance.html)
To League of Women Voters of Westchester home page   (http://www.watpa.org/lwv/)