Child Care Complaint 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 ComplaintComplainant's NamePhone NumberEmailAddress Relationship to facility Relationship to facility FamilyResidentFriendCurrent EmployeePrevious EmployeeOtherFacility NameFacility AddressFacility CityFacility Phone NumberName and Phone Number of other individuals who may have information regarding this complaintOther 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 WhyWould you like to be contacted about the outcome of the investigation by the Licensure Bureau Yes No I wish to be contacted by the Licensure Bureau viaEmailPhoneMail Submit Cancel