Licensing Complaint Form

Please proceed to the online complaint form below if you have concerns about a licensed or unlicensed assisted living facility, adult day center, children's residential facility, or child-placing agency.

Please make sure you are filing a complaint with the right agency/division:

• Group Homes - please contact the Virginia Department of Behavioral Health and Developmental Services (DBHDS) Office of Licensing.
• Nursing Homes - please contact the Virginia Department of Health (VDH) Office of Licensure and Certification.
• Child Care Providers and Centers - please contact the Virginia Department of Education.
• Local Department of Social Services - please contact your local department.
• Child Support - please contact your Division of Child Support Enforcement (DCSE) office.

Note: * Indicates required information.