Child Care

Complaint Form

Anonymous complaints cannot be processed. The identity of the Complainant will not be disclosed during the investigation process; however, the Licensure Bureau cannot ensure anonymity of the complainant.

This complaint form is for Montana Child Care Facilities Only.
Concerns regarding fraud can be reported here.

Date of Complaint

Complainant's Name

Phone Number

Address

Facility Name

Facility Address

Facility City

Facility Phone Number

Name and Phone Number of other individuals who may have information regarding this complaint

Other agencies who have been contacted (Adult Protection Services - Law Enforcement - Ombudsman - etc.)

Specific Allegations. Please be objective specific realistic and complete in your complaint. Who-What-Where-When and Why

Would you like to be contacted about the outcome of the investigation by the Licensure Bureau

I wish to be contacted by the Licensure Bureau via

EmailPhoneMail

Child Care Licensing Mailing List

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