Ohio Department of Developmental Disabilities ( DODD ) Complaint Form

The DODD complaint form is one way to report abuse, neglect and theft occurring to an individual with a developmental disability. Please notify local Law Enforcement when appropriate. You may also contact the local county board to make a complaint. In most cases, contacting the local board is the quickest and easiest way to log a complaint. For a listing of local county board contacts that will be able to assist you directly, please click here. If you prefer, you can also call the DODD Abuse/Neglect Hotline at (866)313-6733 to share your concerns.

Bold fields are required.

Please correct the following errors
Section 1- (Optional)

Person making complaint

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?  Yes    No

Section 2 - (Required)

Victim(s) information

Individual(s) with Developmental Disabilities involved in the complaint.

The Individual affected first/last name and county are required fields.

(Please enter NA if you don't know.)
(Please enter NA if you don't know.)

Section 3 - (Required)

Incident witnessed

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.

(field is only applicable if Other chosen)
Must be 500 characters or less
Accepted Formats Include:JPG/JPEG/GIF/PDF/Word Document files
County Board
Other DODD Department
Another State Agency
Law Enforcement
Other

Agency name and/or person contacted.

Section 4 - (Optional)

Alleged Perpetrator/Primary Person Involved

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?
 Yes    No

Section 5 - (Required)

Provider Information

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?    Yes    No

Type the characters you see in this picture. This ensures that a person, not an automated program, is submitting this report.

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