Business Complaint Form

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Complaint Form

ENF 5121 Form

Rev. 12/22

Please complete a separate form for each location.

You may submit your complaint through the Alcohol Industry Management System by visiting tabc.texas.gov/aims-login.

Instructions:

• Use this form to file a complaint about possible violations of the law on TABC-licensed premises or

to report possible alcohol-related violations taking place

at any location.

• You may also mail a completed form to Texas Alcoholic Beverage Commission, Attn: Enforcement

Division at P.O. Box 13127, Austin, TX 78711-3127; email it to [email protected]; or call

1-888-THE-TABC.

• For more information about complaints, visit tabc.texas.gov.

☐ Please notify me of the outcome of this complaint. If you wish to remain

anonymous, we may not be able to notify you.

Email address: ______________________________________________________

Information provided below is subject to the Public Information Act and will be disclosed to

the public on request, as required by law. Only personal email addresses are considered

confidential under law, and any other identifying information could be released to the public.

Your Contact Information:

☐ Anonymous. If you wish to remain anonymous, you must leave this section blank.

Your Name: __________________________ Phone Number: _____________________

Mailing Address: ___________________________________________________________

City: ____________________________ State: ___________ ZIP Code: _____________

Violation/Possible Violation Information:

Name of Location: ______________________________________________________

Address:______________________________________________________________

City: ____________________________ State: ___________ ZIP Code:_____________

Phone: _________________________

Name of Business or Property Owner(s), If Known:

__________________________________________________________________

What date did the violation occur? ______________ Time? ____________

If reoccurring, what day(s) does/do the violation(s) occur?

☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Saturday ☐ Sunday

Details of the Complaint: (What violations were committed and who committed them?)

TABC Use Only: Date Received: ______________ Received By: _______________________

Open this PDF using Adobe Acrobat Reader to use the submit button

or email this document to complaints@tab c.texas.gov.

Figure: 16 TAC §31.10(d)

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