DHS DD Services Complaints

Division of Developmental Disabilities (DDD) Complaint Form

Thank you for reaching out to the Division of Developmental Disabilities (DDD) regarding a concern you have about DDD services and supports for people with intellectual and developmental disabilities. Please fill out the boxes below with as much information as possible so that DDD staff can reach out to you to address your concerns. You should expect to hear from a DDD staff person within 72 hours of your submission. This complaint form is specific to DDD intellectual and developmental disability services only and cannot address general disability or Medicaid related concerns. If you believe this is an issue of abuse and neglect, you should contact the DHS Office of Inspector General (OIG) 24 hour hotline - 800-368-1463.

Name of person making the inquiry:

Phone number:

Email address:

Address:

City, State, ZIP:

Complaint type: General complaint Complaint related to the Home and Community Based Services (HCBS) Settings Rule specifically

Incident Information

Who is the individual involved with this complaint:

Their date of birth (if known):

Their service provider (if known):

Address of site (if known):

City, State, ZIP:

Please explain the complaint or issue below with as much detail as possible: