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Complaint by Gaming Patron
Complaint by Gaming Patron
This form is available for patrons to submit complaints to the
Division of Gaming involving limited gaming.
If you have a complaint related to or involving sports betting,
complete the
Sports Betting Complaint Form
.
Name and Date of Birth
Your First Name
Your Last Name
Date of Birth
Sex
- None -
Email Address
Email Address
Confirm Email Address
Telephone Number
Name of Casino
Date and Time of Incident
Date and Time of Incident: Date
Date and Time of Incident: Time
Name of Employee You Dealt With
Narrative
Narrative:
In your words, describe in detail what happened. Be sure to state clearly what your complaint is. Tell us what you reported to casino management, and how they responded to your complaint. Identify by name or description all casino employees that you dealt with concerning this complaint. Tell us what you want to happen as a result of your complaint.
I understand that this report is being made to peace officers of the State of Colorado and declare that all information provided with this submission is true to the best of my knowledge and belief. I further understand that if I have knowingly made false statements or intentional misrepresentations that I will be prosecuted according to law.
Submit
Leave this field blank
