Home Rule Tax Complaint Report Services Department of Revenue Home Rule Tax Complaint Report Service Information For reporting potential tax evasion, fraud, or abuse. Tax Type - Select -Amusement TaxBulk SalesFirearm and Ammunition TaxGambling Machine TaxGasoline and Diesel Fuel TaxHotel TaxLiquor TaxNew Motor Vehicle TaxNon Retailer Use TaxParking Lot and Garage Operation TaxRafflesRetailers Occupation TaxSweetened Beverage TaxTobacco TaxUse and Individual Use TaxWheel Tax - Vehicle License Please select the home rule tax/item about which you are wishing to report. Business Name Provide the name of the business or organization for the incident you are reporting. Type of Business What type of business is this? (e.g. grocery store, gas station, restaurant, convenience store, etc.) Business Address If available, please provide the business address or location of the incident. Business City Provide the city of this business or location. Business State The state of the business or location being reported. Business Zip Code Zip code of the business or location being reported. Description of Complaint Describe the incident or circumstances where you believe a violation occurred. For tobacco or cigarette tax violations, please provide information about the sale (if the pack was unstamped, loose cigarette sales, counterfeit cigarettes, or counterfeit stamps). For sweetened beverage tax violations, please provide description of beverage (brand, name, size, quantity) and what type of violation (improperly charged, taxed for non-taxable items, or not charged a tax). Transaction Date Provide the date that the transaction or incident occurred. Name Filing Complaint Provide your name, in case we need to contact you for additional information about this report. Email Provide the email address of the person filing the complaint. (Optional, but if we do not have contact information, we may not be able to gather all the information needed for the investigation of this report.) Upload Use this upload function to attach supporting documentation for this complaint, such as a photo of a receipt, or missing stamp, etc. Please try to include relevant information to your report in the file. NOTE: To include a file upload in your submission, click Choose File and select the file you wish to upload, once selected you must click Upload to upload the file to the form before you submit your report.One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png, pdf. Additional Upload An additional file upload option if needed for your submission.One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png, pdf. Leave this field blank Quick Links Agencies Department of Revenue