File a Complaint

USE THIS FORM TO FILE A GENERAL COMPLAINT ONLY. Please, DO NOT use this form if the complaint is about Medicaid fraud, Medicaid abuse, or a consumer protection complaint. These three issues have separate forms for you to use.

 

Person Making Complaint (Complainant)

Person(s) or Entity Whom Complaint is Made (Subject)

Did You Observe The Incident to which this complaint is made?

If So, Are You Willing To Sign A Sworn Statement About The Incident?

 

Please click here to file a Consumer Complaint Form if you suspect illegal business practices. Under Mississippi’s Consumer Protection Act, the Attorney General is allowed to sue only to prevent unfair and deceptive business practices occurring statewide or affecting large numbers of people.