Complaint Form

Instructions Complaints relating to alleged violations of the Act or this chapter should be submitted in writing to department headquarters through the Private Security Program’s website or mail to the departments Regulatory Services Division. The complaint should provide:

First Name *Complainant's name

Last Name *Complainant's name

Business Name *

Business Type *

Date of Event *Specific dates of described events

Time of Event *Specific times of described eventsHHMMAM/PM

Details of Event *

Detailed description of the violation

Verification