Search
 

Complaint Form

Consumer Information
 
Full Name:   You must enter a value
Address:   You must enter a value
Phone:   You must enter a value
 
eMail:  You must enter a value
 

Complaint Information (Complete All Known Fields)
 
Salon or Individual Name:   You must enter a value
 
License Number:  
 
Salon Address:   You must enter a value
 
Phone:   You must enter a value
 
eMail:   You must enter a value
 
Complaint Details:
You must enter a value
 

Pursuant to 201 KAR 12:190, all complaints must be submitted in writing and list the name of the person(s) filing the complaint.

Any information provided on this form may be subject to public disclosure under the Kentucky Open Records Act.
 

By clicking submit, I certify that all the information and statements I have provided on this form are current, correct, and complete to the best of my knoweldge.