Submit a Concern
This form is for use by clients or members of the public to report concerns. If you are an employee of a licensed program reporting a critical incident, please fill out a report using your provider portal instead of the form below.
The Office of Licensing investigates complaints regarding unlicensed programs and concerns of rule, statute and law violations in licensed programs. If you suspect mistreatment at a licensed or unlicensed facility, please submit your concern using the form below or call (801) 538-4242.