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Complaints
Community Care Foundation
Complaints
To file a complain, please use this form. You can see our complaints handling procedure below the form.
Name
Street Address
City
State
ZIP / Postal Code
Contact Number
Email Address
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If you are making the complaint/feedback on behalf of another person provide the following details.
Name
What is your relationship to the person?
Does the person know you are making this complaint/providing feedback?
Yes
No
Does the person consent to the complaint/feedback being made?
Yes
No
Who is the person, or the service about whom you are complaining or providing feedback about?
Name
Contact Details (if known)
Details
What is your Complaint/Feedback about?
Provide some details to help us understand your concerns. You should include what happened, where it happened, time it happened and who was involved.
What outcomes are you seeking as a result of the complaint/feedback?
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