The purpose of this form is to submit complaints regarding CTEC approved education providers.
Please complete the appropriate information below related to your compaint and then click submit.
You may also download and print a form to complete and send via mail.
City, State, Zip:
Name of Provider:
Provider Number (if known):
Name of Course/Seminar:
Course/Seminar CTEC Number (if known):
Subject of Complaint (check all that apply):
*Provider Complaint Details: