Application for a summons DC-430 File with a verified complaint to request the court to issue a summons if you do not have an attorney. You must have a current Ombudsman ID to complete the Ombudsman Complaint Form.An Ombudsman complaint can be filed Monday-Friday at phone number 518-417-6587. Complaint sample. PDF. Complaint fill in. PDF. You can use our complaint checker to find out if your complaint is ready for us and make a complaint using our online form. The compliance forms that follow contain fields for names, addresses, phone numbers, and other information. For assistance you may call (631) 853-4600 Monday through Friday, from 9am to 4 pm. There was no fault in the way the Council dealt with Ms C's DRE. You can also download the complaints and feedback form (PDF, 168KB).