1. If someone is in danger, don’t wait! Call local law enforcement now.
2. The fastest way to report your concern is to contact your county board of developmental disabilities’ MUI Reporting Hotline.
3. Use this online reporting form to report a concern or call the DODD Abuse and Neglect Hotline during business hours at
Bold fields are required.
You can complete only if you wish to receive acknowledgement of your complaint. If you would like to remain anonymous, please select Yes in the radio button.
Would you like to remain anonymous?
Individual(s) with Developmental Disabilities involved in the complaint. The Individual affected first/last name and county are required fields.
Description of the Incident witnessed (Who, What, Where, When, How and Why). Please include details, duration, etc. You may include an attachment. The Incident Type and Description are required fields.
Agency name and/or person contacted.
Name of person/agency you are filing complaint about. If this information is not available, please select No in the radio button.
Do you know any person/agency information you are filing complaint about?
Person and/or company providing services to individual. If this information is not available, please select No in the radio button.Correct Verification Words are required to submit the entry.
Do you know any provider information?
Are you sure you want to reset the form?