Highlands at Gunston Homeowners Association
c/o:
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ASSOCIATION COMPLAINT FORM
Pursuant to Chapter 29 of Title 55 of the Code of Virginia, the Board of Directors (the “Board”) of The
Highlands at Gunston Homeowners Association (the “Association”) has established this complaint form
for use by persons who wish to file written complaints with the Association regarding the action,
inaction or decision by the governing board, managing agent or association inconsistent with applicable
laws and regulations.
Legibly describe the complaint in the space on the following page, and provide the following:
1. The requested action or resolution of the issues described in the complaint. Your complaint
must contain the remedy, relief, action or resolution you desire in response to your
complaint. The Association is not required to grant any remedy, relief, action or resolution
not requested in the complaint. However, the Association, at its discretion, may grant any
legally permissible remedy, relief, action or resolution, even if not requested in the
complaint.
2. References to the specific facts and circumstances at issue and the provisions of Virginia
laws, regulations and Association governing documents that support or relate to the
complaint.
3. Any supporting materials, correspondence and other documentation (“Documentation”)
related to the complaint. The term “Documentation” includes but is not necessarily limited
to drafts, contracts, diaries, correspondence, communications, telegrams, teletypes,
memoranda, notes, e-mails, studies, reports, minutes of meetings, transcripts, drawings,
graphs, charts, viewgraphs, photographs, films, microfilms, slides, magnetic and electronic
recordings, sound recordings, lists, minutes, checks, receipts, bills and entries in books of
account. The Association, at its discretion, may consider Documentation not provided
initially with the complaint, but is not required to consider Documentation not provided
initially with the complaint.
If there is insufficient space, please attach a separate sheet of paper to this complaint form.
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**NOTE: THE FAILURE TO INCLUDE THE INFORMATION INDICATED IN ITEMS 1, 2 OR 3 ABOVE COULD
RESULT IN THE DISMISSAL OR DENIAL OF YOUR COMPLAINT. IN ADDITION, THE FAILURE TO FOLLOW
THE REQUIREMENTS OF THE ASSOCIATION’S “RESOLUTION ESTABLISHING PROCEDURES FOR
RESOLVING WRITTEN COMPLAINTS BY MEMBERS AND OTHER CITIZENS” (THE “COMPLAINT
RESOLUTION”) ALSO COULD RESULT IN THE DISMISSAL OR DENIAL OF YOUR COMPLAINT. A COPY OF
THAT RESOULTION IS AVAILABLE UPON REQUEST TO THE ASSOCIATION’S REPRESENTATIVE LISTED
ABOVE.
Sign, date and print your name and address below and submit this completed form, by certified or
registered mail, return receipt requested, to the Association at the address listed above. The
Association need not consider, or follow the requirements of the Complaint Resolution for, any
complaints not delivered to the Association at the listed address by registered or certified mail, return
receipt requested.
Printed Name:
Signature:
Date:
Mailing Address:
Lot/Unit Address
Contact Preference: _______ Phone ________E-mail
E-mail Address:
Phone Number:
You are entitled to receive notices concerning your complaint via hand delivery or via registered or
certified mail. These notices include but are not necessarily limited to acknowledgement of receipt of
your complaint, requests for additional information to you from the Association concerning your
complaint, notices of hearings on your complaint, and results of hearings on your complaint (collectively
“Notices”). However, if you wish to receive Notices concerning your complaint by electronic mail, please
mark the space below and write the e-mail address to which you would like the Association to send you
Notices. Please note that if you choose to receive Notices via e-mail, the Association will not be
required to send you notices and decisions via hand delivery or via registered or certified mail.
_____ I WISH TO RECEIVE NOTICES CONCERNING MY COMPLAINT VIA ELECTRONIC MAIL, AT THE
FOLLOWING EMAIL ADDRESS:
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If, after the Board’s consideration and review of the complaint, the Board issues a final decision adverse
to the complaint, you have the right to file a notice of final adverse decision with the Common Interest
Community Board (“CICB”) in accordance with the regulations promulgated by the CICB. This notice shall
be filed within 30 days of the date of the final adverse decision, shall be in writing on forms provided by
the Office of the Common Interest Community Ombudsman (“Ombudsman”), shall include copies of any
supporting documents, correspondence and other materials related to the decision, and shall be
accompanied by a $25 filing fee. The Ombudsman may be contacted at:
Office of the Common Interest Community Ombudsman
Department of Professional and Occupational Regulation
9960 Mayland Drive, Suite 400
Richmond, VA 23233
804/367-2941
CICOmbudsman@dpor.virginia.gov