Reporting Form

The Reporting Form is intended for employers, facility operators and health professionals. If you are a member of the public and you wish to make a complaint about a nurse’s conduct, please follow the instructions for making a complaint.

1. Step One: Download the Reporting Form
2. Step Two: Complete and save the form as a PDF document.
3. Step Three: Complete all the fields below.
4. Step Four: Upload the completed PDF document. (Click Browse to select the PDF. Click Upload to upload the PDF.)

Please review the Privacy Policy at www.cno.org/privacy to understand how your personal information will be used.