Participant Complaint & Grievance Report
As an organization dedicated to empowering teens and young adults who experience developmental disabilities to lead a meaningful and inclusive life we strive to ensure that the rights of all persons we serve is defined, communicated in advance of engagement in programs and services, and to provide individuals served and their families with a mechanism to file a complaint or grievance in the event their feel their rights or the rights of their family member have been violated.

Please provide the request information below in order to allow our organization to review your complaint and work to address the circumstances.

Upon submission of the complaint form Summit Future Foundation will review this information and work to resolve the issue in a timely manner. If you elect to disclose your identity or the identity of the person you are filing a complaint on behalf of you will be notified in writing as to the organizations efforts to resolve the concerns reported within 30 days.
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Are you a person served, or the family member / guardian of a person served? *
Do you wish to file an anonymous complaint, or identify yourself or the person you are filing a complaint of behalf of? *
If you elect to identify yourself or the person you are filing a complaint on behalf of, please include that information below including name an email address in which we can send a written response to.
In which services and programs do you, or the person you are filing this complaint on behalf of engage in?
Please describe the situation(s) that occurred in which you feel your rights or the rights of the person you are filing the complaint on behalf of were violated *
What individual rights do you feel were violated?
Do you have other information you will to share with our grievance review committee?
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