Please select one or more files from your computer/device to add to this complaint.

Supporting information/documentation that you would like to include as part of your complaint must be received in this office electronically, by mail or fax within (14) days after submission of your complaint. Please limit your additional information to 25 pages and do not submit medical records. Information, including audio, video or image files, submitted on a USB thumb drive, flash drive or on the website must not exceed 25MB. Information received after the 14-day deadline will not be considered, as well as information submitted on CDs, DVDs, cassette tapes or other unsupported media. Thank you for your cooperation in this matter.