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File an Online Complaint About a Child Care Facility

This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.

Please include as much information as possible on the form below. Complete information helps us make an investigation sooner and more effectively.

All complaints are anonymous. We do not release your name or contact information when you file a complaint. Including your contact information below helps us reach you if we need more details, but it is not required.

Complaint Form

Contact Information

Your personal information is not required, but it does help us contact you to obtain additional information or notify you of the results of the investigation. Personal information is never released to the facility.

First name: Last name: E-mail address: Phone:

How do you prefer we reach you?

	Phone
	E-mail
	Both

Facility Information

Tip: Find the address of a facility and other information by searching our online list of child care providers. Look up a child care provider's information

Facility name (required): Facility address (required): Facility city (required): Facility zip code: Facility county (required):

Complaint Information

Date of the incident you are reporting (required): Complaint: Please provide a detailed description of the problem or incident you are reporting (required):

Additional Helpful Information:

Age of child, or age group of classroom involved. Where did the incident occur, e.g., classroom, playground, bathroom, etc. Time of day the incident occurred. Names of staff we should speak to regarding the incident. Did you report your complaint to the facility staff?

	Yes
	No

If so, what date did you report it? Whom did you report this to?

Additional materials? Please e-mail any pictures or additional documents related to your complaint to CC.ComplaintUnit@msdh.ms.gov.

Last reviewed on Mar 13, 2024 request edits

Mississippi State Department of Health • 570 East Woodrow Wilson Dr • Jackson, MS 39216 • 866‑HLTHY4U • Contact and information