Alcoholic Beverage Control
COMPLAINT SUBMISSSION
We appreciate your concerns. In order to help us effectively investigate your concerns, please fill the form below with as much information as possible. The more details you provide, the more thoroughly we will be able to look into your complaint. Thank you for your concerns and assistance.
Name of the DBA
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Name of violator
Complainant Category
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Premises Address
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County
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VoilationDateTime
Address Unknown
Country
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Postal Code
*
Address
*
City
*
State
*
County
*
Direction of Site
*
County
*
Date that you observed the violation
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Time that you observed the violation
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Complainant Classification
*
Best time to observe future violations
Provide best day of the week or time of day for example, Friday evenings between 9pm and Midnight or Saturdays after 2am
Nature of complaint
*
Provide any details available regarding Who, What and Where of the potential violation
Complainant Details
Remain Anonymous
Please enter your contact information below. Although not needed, your contact information is very important to us in conducting an investigation and we will do everything possible to keep that information confidential.
First Name
Middle Name
Last Name
Suffix
Phone
Email
Document upload
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