How to File a Complaint

To file a complaint, you may use the Electronic Complaint Form listed below or print a complaint form and mail or fax it to us, or you may call us and request a complaint form at (800) 852-5494 or (501) 371-2640, or write us and request a Complaint form at:

Arkansas Insurance Department

Consumer Services Division

1200 West Third Street

Little Rock, AR 72201-1904

Regardless of how you file a complaint, the following information must be included with your complaint. • Name, address, and telephone number of person filing the complaint • Name of the insurance company • Name of person insured • Policy number and Claim number (if applicable) • Agent or Adjuster's name • Date of occurrence • A brief description of why the complaint is being file

Electronic Complaint Form (You can file your complaint on-line, 

however, attachments need to be faxed or emailed to us and should

include the electronic complaint form tracking ID number. If you

attempt to upload attachments to the electronic complaint form, you

will be “logged off.”)

Print Consumer Complaint Form 

To fax or mail your complaint form rather than file electronically, select and print the appropriate complaint form below and fax to us at (501) 371-2749, or mail your complaint to us at the address listed above. o English o Spanish  Print Health Care Provider Complaint Form