Your information is very important to us. Please explain your complaint below to assist us in gathering as much as possible. Please identify who is engaging in misconduct by including names, dates of birth, addresses, or any other identifying information, relative to your complaint. What state agencies or Departments of Social Services are involved (if any), what wrongdoing occurred, when, for how long, and if there are any witnesses that we may contact. Please be as detailed as possible.
Please note, we may have to contact you for additional information.