File a complaint

Please select from one of the following to file a complaint with the State of Alabama Client Assistance Program:

  1. a hand signing a documentDownload and complete the following form, then return it by either MAIL or FAX: Intake Worksheet

    400 South Union Street
    Montgomery, AL 36104


  2. OR:

  3. Submit your information using our electronic form.
    Online Form

The Information Release Form must be signed and returned by either MAIL, FAX, or SCANNED. Info Release Form