HACR Complaint Form

Please select how you want to submit your form:

Download and print out a physical form to mail or email to complaints@hacr.alabama.gov: CLICK HERE TO DOWNLOAD
OR fill out and submit the online form below:

CONCERN/COMPLAINANT INFORMATION

Last Name:

First Name:

Middle Name:

Relationship:

Homeowner(s):

Total Contract Amount $:

Property Address for Complaint:

City:

State:

Zip:

Telephone Number:

Cell Number:

Email Address:

CONTRACTOR INFORMATION FOR COMPLAINT

Last Name:

First Name:

Middle Name:

Company Name of Contractor:

Contractor(s) Address:

City:

State:

Zip:

Telephone Number:

Office Number:

Cell Number:

License Number(s):

Email Address:

NATURE OF COMPLAINT

Detailed Explanation of Complaint:

I attest that the information contained in this complaint is true to the best of my knowledge:

Signature (type your name):

Date