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
1 Commerce Way, Suite 102
Little Rock, AR 72202-2087

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 filed

By completing this Request for Assistance Form and sending it to the Arkansas Department of Insurance, you attest that the information provided to the Department of Insurance is accurate to the best of my knowledge and ability, and that you understand that the facts relating to this complaint will become a matter of public record, pursuant to Arkansas Law.

Electronic Complaint Form Please submit only once per complaint online and reference that submission on any future correspondence to our e-mail address:

Print Consumer Complaint Form English Spanish

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.

Print Health Care Provider Complaint Form