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Complaint Report

Please complete the form below if you have any complaints you would like to address with the Early Learning Coalition. You will receive a confirmation email to verify your entry.
Use the Tab Key to move from box to box (Don't use the Enter Key) then click on the submit button to send.
Reported By
Type of Facility:
Family  Provider  Coalition/Contractor  Office of Early Learning  Anonymous  Other
First & Last Name:
 Street Address:
Email Address:

 City:
Phone Number:
 Zip:
Complaint Against
Type of Facility:
Family  Provider  Coalition/Contractor  Office of Early Learning  Other
First & Last Name:
 Street Address:
Email Address:

 City:
Phone Number:
 Zip:
Child Care ID #:
  
Provider Status
Licensed      Registered     Exempt     Unregulated     Unknown

Complaint

 

    

Early Learning Coalition of Pinellas County, Inc.
Phone: (727) 548-1439 • Fax (727) 548-1509