Department Of Commerce and Insurance
Division of Regulatory Boards
Private Investigation & Polygraph Commission
500 James Robertson Parkway, 2nd Floor
Nashville, Tennessee 37243
Phone: (615) 741-4827
Fax: (615) 532-2965

Thank you for reporting your complaint to the Tennessee Department of Commerce & Insurance, Division of Regulatory Boards. This division licenses and regulates several hundred thousand Tennesseans in their professions and businesses. These boards and commissions are empowered to take disciplinary action - including revocation of licenses and assignment of civil penalties - against license holders found guilty of violating laws governing their professions.

Before filing your complaint it is important to note that our Boards and Commissions cannot recover or order the refund of any money or property to which you may be entitled. You must institute a civil lawsuit for this purpose and hire your own legal counsel, if necessary. The Commission does not have jurisdiction over individuals who do not have licenses, thus cannot take any disciplinary action against them. After investigation, the Commission can seek criminal prosecution against those it finds are operating or practicing without a license. It can also seek an injunction to prohibit further unlicensed activities.

To file your complaint, please check the board you wish to report on then fill out all sections of the form below. Provide as much information as possible. Select the Submit button at the end of the document to forward your complaint to our attention.


Click here for printable version

On-Line Consumer Complaint Form
(* denotes required field)

Date Filed
*Mailing Address
*City, State, Zip
*Telephone Number
Email Address
Are you licensed by this State Board? Yes No
If YES, give license Number
Street Address
*City, State, Zip
Telephone Number
Please provide the following information.
Name of Your Employer
Employer's Address
Street Address City State Zip
Your Business Phone

NOTE: Pursuant to TCA Title 47, Chapter 18, the Tennessee Consumer Protection Act, you may want to file a complaint with the Division of Consumer Affairs, 5th Floor, 500 James Robertson Parkway, Nashville, Tennessee 37243. (615-741-4737) or (800-342-8385)

Form IN-0759 (Rev. 3/88)



Give a complete statement of the facts, with dates. You may also be asked to provide originals of all documents that will support your allegations. You should retain copies.

Other persons with firsthand knowledge of your complaint:

Mailing Address City State Zip
Home Phone Business Phone
Mailing Address City State Zip
Home Phone Business Phone
Have you consulted an attorney?  Yes    No
If YES, please provide the following:
Street Address City State Zip
By submitting this information, I hereby attest to the accuracy or truthfulness of the content. I agree.

*Signature  (Please type your name)     *Date