Client/Member/Participant Complaint Form
This form is to be used by those served by Pathway To Hope, Inc and all services affiliated. We regard a complaint as an expression of dissatisfaction about our organization, our staff, our volunteers, our partners, our contracted service providers or anyone else acting on our behalf.

Our policy is to provide a fair complaints procedure which is clear and easy to use for anyone wishing to make a complaint; to publicize the existence of our complaints procedure so that people know how to contact us to make a complaint; to make sure everyone within the organization knows what to do if a complaint is received; to make sure all complaints are investigated fairly and in a timely way; to make sure that complaints are, wherever possible, resolved and that relationships are repaired; to gather information which helps us to improve what we do. All complaint information will be handled sensitively, telling only those who need to know and following any relevant data protection requirements.

We appreciate the opportunity to attempt to resolve the problem you are experiencing.
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Your Name (First and Last) *
Best way to reach you in the next 2 business days *
Phone number
Email address
Date of incident *
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Time of incident
Time
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Location of incident *
Describe complaint in detail *
What attempts have you made to resolve the matter with the person? *
Is this the first time you have filed a complaint *
If yes, when did you previously provide a complaint
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If there are witnesses, please provide names
Today's Date *
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Submit
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