Questions, Concerns, and Complaints
Your Last Name
*
Your First Name
*
Street Address
City
State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Phone Number
Email
Question/ Concern/ Complaint
is regarding which of the following?
FIP
Medicaid Eligibility
IHAWP
MEPD
Hawk-i
Facility Medicaid Eligibility
Payment for Medicaid Services
Child Care Provider
Child Care Assistance
Child Abuse Assessment
Child and Family Services
Dependent Adult Abuse Assessment/Evaluation
Adult Services
Child Support
Foster Care
Adoption
Aftercare Services
Mental Health Services
Mental Health Facility Services
DHS Office Concerns
Other
DHS Dashboards
What is your question,
concern, or complaint?
Please respond in 500 characters or less. Include the name(s) of any Iowa Department of Human Services employee(s) involved, and the name(s) of any staff with whom you have already discussed your concern or complaint. If your question, concern, or complaint requires more than 500 characters, please feel free to attach additional documentation below.
Attach your file
Submit