Submission of this form means that you are filing a formal complaint with the Domestic Violence Offender Management Board (DVOMB) against an individual whose name appears on the DVOMB Approved Provider List. The DVOMB has authority only over individual listed providers and can only respond to founded violations of the Standards. Please refer to Appendix D of the Standards for more information about how complaints are processed and reviewed by the DVOMB.
Please complete this form as instructed in its entirety for each individual DVOMB Approved Provider you wish to file a complaint against. Incomplete forms or complaints submitted without complete and necessary information will not be processed.