Colorado Domestic Violence Offender Management Board

On-Line Complaint Form

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.

Personal Information

File Complaint Anonymously?

Please select your role in filing this complaint

Provider Selection (the provider for whom you are filing a complaint)

Select Provider Address (if applicable)

Nature of Complaint

Please provide a description of the situation or circumstances related to the violation of the Standards. Please attach supporting documentation.

Upload Supporting Documentation File (optionally you can send supporting documentation via mail)

Description

Standards Violated

The specific DVOMB Standard(s) must be cited and how they were allegedly violated by the provider. Please refer to the Standards and Guidelines for details and/or consult with the DVOMB staff for guidance.

Desired Outcome

Please describe what you would like to occur in order to resolve the situation.