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How To File A Complaint
Printable Complaint Forms

These forms are available for download. After filling out the required information, please mail the form to the following address:

Office of the Attorney General
2115 State Capitol
Lincoln, NE 68509
  • Consumer Complaint Form
  • Consumer Complaint Form En Español
  • Do Not Call Complaint Form
  • Medicaid Fraud Control Unit Complaint Form
  • One-Call Notification Complaint Form

Tobacco Settlement Form

  • Nebraska Certification of Tobacco Master Settlement Agreement (Editable PDF)
  • Instructions Regarding Quarterly Escrow Payment Requirement
  • Sample Escrow Agreement (PDF version)
  • Certificate of Compliance by Non-Participating Manufacturer Regarding Escrow Payment
  • Nebraska Department of Revenue Cigarette Manufacturers and Brands
  • The Consumer Protection Division |
  • Available Forms |
  • Informational Brochures |
  • Consumer Links |
  • Consumer Bulletins |
  • Identity Theft |
  • Internet Safety |
  • Do Not Call Registry |
  • Security Policy
  • Privacy Policy
  • State of Nebraska
2115 State Capitol • Lincoln, NE 68509 • 1-800-727-6432 • 402-471-2682