Licensing Complaint Form

Please proceed to the online complaint form below if you have concerns about a licensed or unlicensed assisted living facility, adult day center, children's residential facility, or child-placing agency.

Please make sure you are filing a complaint with the right agency/division:

Note: * Indicates required information.

Disclaimer

State and federal law do not allow us to respond with personal, confidential or case-specific information through this form. Information sent through this form is not secure or confidential.