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Constituent Complaint Form

This form is also available in PDF format. Click here to download it and mail the completed
form to:

Constituent Complaint Division
Attorney Generals Office
2115 State Capitol, Lincoln, NE 68509

Filing Information

Name
First
Last
Address
County
Home Phone
Work Phone

Complaining Against

Name
First
Last
Title
Company
Address
County

Complaint Detail Information*

Describe your complaint, what attempts you have made to correct it, and how you would like to have the complaint resolved. Please be detailed and specific.

Complaint Detail Information
Options
 

Check if you would like us to respond to you directly.

 

Check if this referral is just to give us information and you do not need us to respond to you directly.

 

Check if you will be mailing documentation along with this complaint.

Documents can be mailed to:
Constituent Complaint Division
Attorney Generals Office
2115 State Capitol, Lincoln, NE 68509.

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