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The Regulatory Services Division (RSD) Contact Center Representatives are available to assist you by phone from 7 a.m. to 7 p.m.

Please complete each of the fields below and select the “Submit” button to send your request. DPS investigates alleged criminal violations of Texas Occupations Code, Chapter 1702, and administrative violations of Texas Administrative Code, Chapter 35. The information you provide in this complaint will be evaluated for jurisdictional authority, so be as complete as possible in the information you provide.


First Name:
Last Name:
*Street Address 
*City: 
*Zip Code 
*County: 
*Email:
*Please re-enter Email:
*Phone:(xxx-xxx-xxxx)
 
 

Regulated Individual or Business associated with the complaint:

Company Name:
Person's Name:
Address
City, State & Zip Code
Phone
*Complaint Details:

 

Please upload files of any letters, checks, receipts and other documents related to your complaint.
Complete browsing before clicking upload. You will only be allowed to upload once. If you need to re-upload, you will need to start the form over.

Attached file(s)
Before attaching your documents, please read the File Format Tips and follow the File Upload Instructions.

File Format Tips:
  • Files must be in JPG, GIF, DOC, DOCX, or PDF format (Do not password protect)
  • Up to 5 files can be attached (max 5MB each)
  • File name must be alpha numeric only, no special characters or parenthesis,
    e.g.: ( : \ / # * ? < > | )
File Upload Instructions:
  • Click "Choose File", locate file and click "Open". (Repeat this step up to 4 x’s)
  • If you want to remove a chosen file, click "Choose File" and then click "Cancel".
  • After chosing your documents, Click "Attach"
  • Click "Submit Form"