Printable Complaint Form. Complaint sample. PDF.Complaint fill in. PDF. Please contact the Office of the Ombuds at 206-477-1050 if you have any questions about how to fill out this form. • Sufficient number of copies of verified complaint- affidavit and supporting documents. This is how to easily fill out New York Verified Complaint in 2024. You have all you need to get, complete, and eSign any form here. Dochub is the greatest editor for changing your documents online. Under law, one of the scenarios in which the Ombudsman is not required to investigate is when people have available. The Long-Term Care Ombudsman Program is responsible for publishing its complaint data each quarter.