*NOTE: This LTCO Online Complaint Form is for consumer use only. Licensed Long-Term Care (LTC) facilities should NOT use this form. LTC facilities must use the AAS-45 "Reportable Event Record/Report" form located on our website and should FAX to the Ombudsman's Office at 609-943-3479.
Please note: The Office of the State Long Term Care Ombudsman is not a First Responder. In an Emergency, or if someone is in immediate danger, Please DIAL 911!
Please answer as many questions as possible. All information is confidential.
In order to submit this online complaint, you must provide your name in the form below. However, when we investigate your complaint, we will not use your name if you do not wish. If you want to file a complaint without providing your name, you can call our hotline 1-877-582-6995 and speak anonymously with an intake specialist.
Last Updated: Tuesday, 07/28/20