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 occurance
  • A brief discription of why the complaint is being filed

Electronic Complaint Form:

Please submit only once per complaint online and reference that submission on any future correspondence to our e-mail address: Insurance.Consumers@Arkansas.go

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. 

Print Health Care Provider Complaint Form