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Comments, Suggestions, and or Complaints DE 8123 Rev 8 (10-21)-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out your Contact Information. Enter your Name, Address, Phone Number, Alternate Number, Email Address, and Preferred Language in the designated fields.
- Next, provide Incident Information by entering the Date of Incident and Location/Address where the incident occurred.
- In the Service Area section, check all applicable services that relate to your comments or complaints such as Unemployment Insurance or Disability Insurance.
- If you have a Language Access Issue, check all relevant boxes indicating your concerns regarding bilingual personnel or materials.
- Use the provided space to enter your comment, complaint, or suggestion. If more space is needed, feel free to attach an additional sheet.
- Indicate whether you would like a response by checking 'Yes' or 'No'.
- Once completed, save your document and follow the instructions for mailing it to the appropriate address listed on the form.
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