Complaint Form Complaint FormInstructions 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 nameLast Name *Complainant's nameBusiness Name *Business Type *Date of Event *Specific dates of described eventsTime of Event *Specific times of described events010203040506070809101112HH000510152025303540455055MMAMPMAM/PMDetails of Event *Detailed description of the violation VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: