PTOT.texas.gov

Investigation Referral Form

If you need more space for details of this complaint, you may send an email instead. If you wish to remain anonymous, you will need to send your complaint by the mail to the Board. Contact information for the Board is at the bottom of this webpage.

Complaint Against:

Select One:

Name:

Address:

City:

State:

Zip Code:

Enter phone numbers with spaces - 512 754 1245

Phone:

Complaint Filed By:

Name:

Address:

City:

State:

Zip Code:

Enter phone numbers with spaces - 512 754 1245

Phone:

Email:

Describe your complaint in detail. Include the names, locations and dates involved. There is a 2,000 character limit for this field:

Send

If you get the "Invalid Input" message after hitting send, you have entered the field above the message incorrectly.

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