OMMA Business Complaints

OMMA Business Complaints

To file a complaint against a licensed OMMA business entity, please fill out all applicable fields in this form.

Today's Date*

Date of Incident*

Time of Incident (24-hour Format)*

Business Name*

Business against which the complaint is being filed.

OMMA License Number (if known)

XXXX-XXXX-XXXX

Business Type*

Select

Address*

City*

State*

Zip Code*

County*

Select

Complaint Type*

Select

Type here if Other

Narrative of Complaint*

Please provide as much detailed information as possible. If the complaint is a violation of OMMA rules and/or state law, please cite the specific rule and/or law violated.

Name of Person Filing Complaint

Phone Number (123) 456-7890

Email Address

Photo & File Attachments

Use this field to upload supporting documentation and/or photos, if applicable.

Drag and drop files here or

Send me a copy of my responses

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